Individual
MISS JUDITH MARIE SIMONSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LAC, PT
Contact information
Practice address
819 SE MORRISON ST, SUITE 120, PORTLAND, OR 97214-6307
(503) 806-6184
(503) 236-7640
Mailing address
819 SE MORRISON ST, SUITE 120, PORTLAND, OR 97214-6307
(503) 806-6184
(503) 236-7640
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
AC00868
OR
225100000X
Physical Therapist
Primary
1668
OR
Other
Enumeration date
10/21/2006
Last updated
09/11/2025
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