Individual
ANNE JEFFERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
3400 STATE ST, SUITE G-704, SALEM, OR 97301-5861
(800) 219-8835
(503) 639-9699
Mailing address
16083 SW UPPER BOONES FERRY RD, SUITE 300, TIGARD, OR 97224-7736
(800) 219-8835
(503) 639-9699
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
61050
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500693729
—
OR
Enumeration date
06/18/2015
Last updated
09/12/2016
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