Individual
LENORA BOARDMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPTA
Contact information
Practice address
930 SW ABBEY ST, NEWPORT, OR 97365-4820
(541) 574-1823
Mailing address
8581 YAQUINA BAY RD, NEWPORT, OR 97365-9611
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
7226
OR
Other
Enumeration date
12/29/2006
Last updated
07/08/2007
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