Individual
HANNAH LEE CASSELTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT,CLT
Contact information
Practice address
19365 SW 65TH AVE STE 106, TUALATIN, OR 97062-9196
(503) 563-5390
Mailing address
6955 SW JUNIPER TER, BEAVERTON, OR 97008-5135
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
62866
OR
Other
Enumeration date
09/10/2018
Last updated
09/10/2018
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