Individual
KELLY ODELL DZON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSPT
Contact information
Practice address
1423 SE 23RD AVE, PORTLAND, OR 97214-3908
(503) 236-3108
(503) 236-3239
Mailing address
1423 SE 23RD AVE, PORTLAND, OR 97214-3908
(503) 236-3108
(503) 236-3239
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
4831
OR
Other
Enumeration date
06/01/2006
Last updated
08/26/2008
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