Individual
LAURA VANGORP EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
14140 SUNDELEAF DR, LAKE OSWEGO, OR 97034-2042
(503) 635-9738
Mailing address
14140 SUNDELEAF DR, LAKE OSWEGO, OR 97034-2042
(503) 635-9738
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2024
OR
Other
Enumeration date
02/19/2010
Last updated
02/19/2010
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