Individual
NATALIE SAN ANDRES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT, OCS
Contact information
Practice address
1720 SE HAIG ST, PORTLAND, OR 97202-2852
(305) 979-9836
Mailing address
3116 GROTON WAY, UNIT 2, SAN DIEGO, CA 92110-5423
(305) 979-9836
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
60426
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0330363
WA L&I
OR
01
—
0330364
WA L&I
OR
01
—
0330365
WA L&I
OR
05
—
500666187
—
OR
Enumeration date
11/14/2013
Last updated
02/22/2021
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