Individual
KATHY JAYMES DEMULLING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
3600 N INTERSTATE AVE, PORTLAND, OR 97227-1106
(503) 249-3399
Mailing address
3600 N INTERSTATE AVE, PORTLAND, OR 97227-1106
(503) 249-3399
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
7009
OR
Other
Enumeration date
06/03/2008
Last updated
06/03/2008
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