Individual
DIANNE LYNN HRUBEC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
707 SW GAINES ST, PORTLAND, OR 97239-2901
(800) 452-3563
Mailing address
3803 NW CHINQUAPIN PL, CORVALLIS, OR 97330-3420
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
3261
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
240368
—
OR
Enumeration date
01/23/2007
Last updated
07/08/2007
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