Individual
CELINE MARTHA MCCARTHY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
3331 PACIFIC AVE, FOREST GROVE, OR 97116-1914
(503) 357-9374
(503) 359-7531
Mailing address
3331 PACIFIC AVE, FOREST GROVE, OR 97116-1914
(503) 357-9374
(503) 359-7531
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1471
OR
Other
Enumeration date
04/12/2007
Last updated
12/03/2007
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