Individual
KATHLEEN THERESE SCANLAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
3303 SW BOND AVE, PORTLAND, OR 97239-4501
(503) 494-3151
Mailing address
6715 N WILBUR AVE, PORTLAND, OR 97217-5252
(708) 715-2891
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
070.018664
IL
2251N0400X
Neurology Physical Therapist
Primary
61988
OR
Other
Enumeration date
11/14/2011
Last updated
04/02/2020
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