Individual
JENNIFER CATHERINE MONACO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
7515 NE AMBASSADOR PL STE C, PORTLAND, OR 97220-1379
(503) 261-8599
(503) 408-8932
Mailing address
7515 NE AMBASSADOR PL STE C, PORTLAND, OR 97220-1379
(503) 261-8599
(503) 408-8932
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
62286
OR
225100000X
Physical Therapist
PT60771908
WA
225100000X
Physical Therapist
PTP-PT-LIC-17080
MT
Other
Enumeration date
08/10/2017
Last updated
12/08/2022
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