Individual
MS. JENNY LYNN WADMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
2701 NW VAUGHN ST, SUITE 140, PORTLAND, OR 97210-5311
(503) 499-5144
Mailing address
1526 SE TAYLOR ST, PORTLAND, OR 97214-2654
(503) 239-7025
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT00005328
WA
Other
Enumeration date
08/31/2006
Last updated
07/08/2007
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