Individual
DANA PAQUETTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1015 NW 22ND AVE, PORTLAND, OR 97210-3025
(503) 413-7151
Mailing address
6533 N ATLANTIC AVE UNIT B, PORTLAND, OR 97217-5031
(503) 545-6726
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
09371
OR
Other
Enumeration date
05/23/2017
Last updated
05/23/2017
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