Individual
CHERYL LYNN GORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
15755 SW SEQUOIA PARKWAY, #101, TIGARD, OR 97224
(503) 639-8284
(503) 624-7216
Mailing address
1825 N WILLIAMS AVE, PORTLAND, OR 97227-1864
(503) 288-2615
(503) 288-0339
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
0338
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
137836
—
OR
Enumeration date
07/03/2006
Last updated
07/08/2007
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