Individual
JILLIAN ELIZABETH SPINK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
4690 SW WASHINGTON AVE, BEAVERTON, OR 97005-0530
(503) 644-3311
(503) 627-0112
Mailing address
16083 SW UPPER BOONES FERRY RD STE 300, TIGARD, OR 97224-7736
(800) 219-8835
(503) 639-9699
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
61200
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500690432
—
OR
Enumeration date
08/06/2015
Last updated
02/09/2016
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