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Individual

LAILA DEARDORFF

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
P.T.

Contact information

Practice address
17079 CANAL CIR, LAKE OSWEGO, OR 97035-5613
(503) 267-8952
Mailing address
17079 CANAL CIR, LAKE OSWEGO, OR 97035-5613
(503) 267-8952

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
3638
OR

Other

Enumeration date
06/23/2006
Last updated
02/24/2020
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