Individual
ASHLEY MILDREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
19250 SW 65TH AVE STE 125, TUALATIN, OR 97062-7745
(503) 692-1670
Mailing address
19250 SW 65TH AVE STE 125, TUALATIN, OR 97062-7745
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
06829
OR
Other
Enumeration date
02/23/2012
Last updated
02/09/2017
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