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Individual

MRS. MARIA BAUMGARDEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PT

Contact information

Practice address
3457 NE DIVISION ST, GRESHAM, OR 97030-4602
(503) 667-1965
Mailing address
25117 SW PARKWAY AVE STE D, WILSONVILLE, OR 97070-9697
(888) 757-3422

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
6041
OR

Other

Enumeration date
07/16/2010
Last updated
09/30/2010
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