Individual
JEFFREY PAUL GUERRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
3303 SW BOND AVE, PORTLAND, OR 97239-4501
(503) 494-3151
Mailing address
3303 SW BOND AVE, PORTLAND, OR 97239-4501
(503) 494-3151
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
62605
OR
2251S0007X
Sports Physical Therapist
5136
CO
2251S0007X
Sports Physical Therapist
Primary
62605
OR
Other
Enumeration date
03/19/2008
Last updated
04/13/2020
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