Individual
JULIE GUDMESTAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
3903 SW KELLY AVE STE 210, PORTLAND, OR 97239-4385
(503) 223-8157
(503) 248-4730
Mailing address
3903 SW KELLY AVE STE 210, PORTLAND, OR 97239-4385
(503) 223-8157
(503) 248-4730
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
0682
OR
Other
Enumeration date
04/17/2007
Last updated
07/08/2007
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