Individual
MS. RENE GAIL CERVI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHYSICAL THERAPIST
Contact information
Practice address
691 MURPHY RD, STE 126, MEDFORD, OR 97504-4346
(541) 779-1041
(541) 779-8704
Mailing address
11481 SW HALL BLVD, STE 201, PORTLAND, OR 97223-8403
(800) 219-8835
(503) 443-1402
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2086
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
299005
—
OR
Enumeration date
07/06/2006
Last updated
11/07/2007
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