Individual
ELISSA ANDRESEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3320 SE HOLGATE BLVD, PORTLAND, OR 97202-3459
(503) 231-1411
Mailing address
8700 NE THOMPSON ST, PORTLAND, OR 97220-5471
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
08823
OR
Other
Enumeration date
01/29/2014
Last updated
01/29/2014
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