Individual
MRS. MARIE CEDERNA ELLINGSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPT
Contact information
Practice address
9135 SW BARNES RD, SUITE 362, PORTLAND, OR 97225-6646
(503) 216-2334
Mailing address
9135 SW BARNES RD, SUITE 362, PORTLAND, OR 97225-6646
(503) 216-2334
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1299
OR
Other
Enumeration date
05/22/2007
Last updated
07/08/2013
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