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Individual

ORION LAMBERT KOOISTRA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DPT

Contact information

Practice address
3942 NE 11TH AVE, PORTLAND, OR 97212-1236
(503) 334-9799
Mailing address
3942 NE 11TH AVE, PORTLAND, OR 97212-1236
(503) 334-9799

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
6290
OR

Other

Enumeration date
06/29/2010
Last updated
03/12/2021
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