Individual
CASSANDRA LA MADRID
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10915 SE STARK ST, PORTLAND, OR 97216-3348
(503) 261-1120
Mailing address
10915 SE STARK ST, PORTLAND, OR 97216-3348
(503) 261-1120
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
—
Other
Enumeration date
05/27/2015
Last updated
01/05/2017
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