Individual
JOANNE GORHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1130 NW 22ND AVE, SUITE 200, PORTLAND, OR 97210-2900
(503) 413-8988
(503) 274-4815
Mailing address
6821 N NEWCASTLE AVE, PORTLAND, OR 97217-5348
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
7314
OR
Other
Enumeration date
06/06/2007
Last updated
07/08/2007
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