Individual
STEPHANIE MAGNO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
13765 NW CORNELL RD, SUITE 150, PORTLAND, OR 97229-5300
(503) 724-1223
(503) 928-5615
Mailing address
13765 NW CORNELL RD, SUITE 150, PORTLAND, OR 97229-5300
(503) 724-1223
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5134
OREGON PHYSICAL THERAPY BOARD
OR
Enumeration date
08/30/2006
Last updated
03/21/2013
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