Individual
JOANNE LYNN SIEGEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
5525 SW JEFFERSON ST, PORTLAND, OR 97221-2523
(503) 246-1366
Mailing address
5525 SW JEFFERSON ST, PORTLAND, OR 97221-2523
(503) 246-1366
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
3092
OR
Other
Enumeration date
12/03/2012
Last updated
06/03/2013
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