Individual
MRS. JULIE MALCOM CAREY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12441 SE STARK ST, PORTLAND, OR 97233-1053
(503) 255-7040
Mailing address
12441 SE STARK ST, PORTLAND, OR 97233-1053
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
7343
OR
Other
Enumeration date
02/23/2009
Last updated
02/23/2009
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