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Individual

COURTNEY N DAWES HENNINGS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DPT

Contact information

Practice address
5825 SHOREVIEW LN N, KEIZER, OR 97303-3978
(503) 540-6471
(503) 540-6404
Mailing address
1600 STATE ST, SALEM, OR 97301-4257
(503) 540-6300
(503) 540-6404

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
500687150
OR
Enumeration date
05/06/2015
Last updated
10/05/2015
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