Individual
JENNIFER KATHARINE STUMPF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
12672 SE STARK ST, PORTLAND, OR 97233-1058
(503) 254-2652
Mailing address
444 NE BRAZEE ST, PORTLAND, OR 97212-3817
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
019169
NY
2251P0200X
Pediatric Physical Therapist
05199
OR
2251X0800X
Orthopedic Physical Therapist
Primary
05199
OR
Other
Enumeration date
04/30/2008
Last updated
04/30/2008
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