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Individual

FELICITY CASE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DPT

Contact information

Practice address
707 SW GAINES ST, PORTLAND, OR 97239-2901
(503) 292-9639
Mailing address
2801 N GANTENBEIN AVE, PORTLAND, OR 97227-1623

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
6576
OR

Other

Enumeration date
10/17/2011
Last updated
04/15/2013
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