Individual
MRS. LISA LYNN PERREAULT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
17550 PROVOST ST SUITE 201-A,, LAKE OSWEGO, OR 97034
(503) 872-2441
(503) 215-2185
Mailing address
17550 PROVOST ST SUITE 201-A,, LAKE OSWEGO, OR 97034
(503) 872-2441
(503) 582-4650
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2792
OR
Other
Enumeration date
07/30/2018
Last updated
04/25/2023
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