Individual
PAIGE TIBBETTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
58147 COLUMBIA RIVER HWY, SUITE B, SAINT HELENS, OR 97051-6226
(503) 438-4733
Mailing address
7803 SE THOMPSON RD, MILWAUKIE, OR 97222-1152
(503) 975-3309
Taxonomy
Speciality
Code
Description
License number
State
172M00000X
Mechanotherapist
Primary
13984
OR
Other
Enumeration date
09/11/2012
Last updated
09/11/2012
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