Individual
REBEKAH MARIE HEGEWALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
319 NE RUSSET ST, PORTLAND, OR 97211-2815
(503) 289-5571
Mailing address
3916 NE 42ND ST, VANCOUVER, WA 98661-3117
(360) 772-5041
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
09574
OR
Other
Enumeration date
02/28/2018
Last updated
02/28/2018
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