Individual
KATHERINE COLLINSWORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
2020 8TH AVE STE D, WEST LINN, OR 97068-4657
(503) 387-5449
Mailing address
2020 8TH AVE STE D, WEST LINN, OR 97068-4657
(503) 387-5449
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
63357
OR
225100000X
Physical Therapist
PT026865
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
63357
OR PHYSICAL THERAPY LICENSE
OR
01
—
PT026865
PA PHYSICAL THERAPY LICENSE
PA
Enumeration date
06/12/2018
Last updated
09/15/2019
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