Individual
MS. KATHLEEN A MARQUARDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1270 CENTER ST NE, SALEM, OR 97301-4113
(503) 581-7232
(503) 581-6511
Mailing address
33423 SW LADD HILL RD, WILSONVILLE, OR 97070-7548
(503) 625-7954
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
0345
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
289892
—
OR
Enumeration date
07/05/2005
Last updated
10/19/2007
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