Individual
LUCIA A BOTEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7320 SW HUNZIKER ST, SUITE 203, TIGARD, OR 97223-8283
(503) 443-1019
Mailing address
9584 SE PARKWOOD WAY, HAPPY VALLEY, OR 97086-6385
(503) 995-8748
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
6089
OR
Other
Enumeration date
08/22/2011
Last updated
07/02/2019
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