Individual
TARA MICHELLE POOLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
901 E 18TH AVE, EUGENE, OR 97403-1354
(541) 346-3575
(503) 346-6918
Mailing address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3011
(503) 494-8417
(503) 346-8021
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
61538
OR
Other
Enumeration date
03/04/2016
Last updated
03/04/2016
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