Individual
MRS. LAURIE SOPER SCHICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
28203 SW 110TH AVE, WILSONVILLE, OR 97070-9520
(503) 682-9022
(503) 682-9012
Mailing address
6302 SW ROUNDTREE CT, PORTLAND, OR 97219-8803
(503) 293-0423
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2740
OR
Other
Enumeration date
07/12/2006
Last updated
07/08/2007
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