Individual
MARIA LOURDES ALIVIA LACSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
2875 NW STUCKI AVE, HILLSBORO, OR 97124-5806
(971) 310-1000
Mailing address
2875 NW STUCKI AVE, HILLSBORO, OR 97124-5806
(971) 310-1000
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
4997
OR
Other
Enumeration date
04/09/2013
Last updated
06/08/2013
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