Individual
BAILEY ANN OUELLETTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
13470 SW FARMINGTON RD, BEAVERTON, OR 97005-2618
(503) 644-3311
(503) 627-0112
Mailing address
16083 SW UPPER BOONES FERRY RD, STE. 300, TIGARD, OR 97224-7736
(800) 219-8835
(503) 639-9699
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
60037
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500652655
—
OR
01
—
P01527068
RR MEDICARE
OR
Enumeration date
12/05/2012
Last updated
12/03/2015
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