Individual
DEBBIE KAY VANDOVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
2160 SW 26TH ST, GRESHAM, OR 97080-9521
(503) 665-4799
Mailing address
2160 SW 26TH ST, GRESHAM, OR 97080-9521
(503) 665-4799
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2193
OR
Other
Enumeration date
08/16/2012
Last updated
08/16/2012
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