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Individual

MS. PATTI LEE HENRY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PT

Contact information

Practice address
19185 SW 90TH AVE, TUALATIN, OR 97062-7558
(800) 813-2000
Mailing address
200 NE MOTHER JOSEPH PL STE 210, VANCOUVER, WA 98664-3295
(360) 254-6161
(360) 449-1146

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
3318
OR
2251X0800X
Orthopedic Physical Therapist
Primary
10182
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
3218
OREGON PT LICENSE
OR
Enumeration date
08/20/2007
Last updated
10/09/2024
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