Individual
JANE CHARVAT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
10450 SW MCDONALD ST APT 61, PORTLAND, OR 97224-4853
(870) 321-1547
Mailing address
10450 SW MCDONALD ST APT 61, PORTLAND, OR 97224-4853
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
4575
OR
Other
Enumeration date
01/26/2016
Last updated
01/26/2016
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