Individual
MISS BETHANY MCGRAIL SLOANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
707 SW GAINES ST, PORTLAND, OR 97239-2901
(800) 452-3563
Mailing address
707 SW GAINES ST, PORTLAND, OR 97239-2901
(800) 452-3563
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
60574
OR
225100000X
Physical Therapist
P12409
NC
Other
Enumeration date
11/06/2009
Last updated
05/29/2014
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