Individual
AMY M CZUPRYN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
14645 SW FARMINGTON RD, BEAVERTON, OR 97007-2727
(503) 643-8626
Mailing address
14645 SW FARMINGTON RD, BEAVERTON, OR 97007-2727
(503) 643-8626
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
09418
OR
Other
Enumeration date
11/05/2016
Last updated
11/05/2016
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