Individual
LESLIE JEAN PODMORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
7421 SW BRIDGEPORT RD STE 215, TIGARD, OR 97224-7707
(503) 620-6400
Mailing address
7421 SW BRIDGEPORT RD STE 215, TIGARD, OR 97224-7707
(503) 620-6400
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
60425
OR
Other
Enumeration date
11/21/2013
Last updated
11/21/2013
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