Individual
DR. ELIZABETH CHAPMAN COSTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
ESD 112, 2500 NE 65TH AVENUE, VANCOUVER, WA 98661-5506
(360) 750-7500
Mailing address
4334 NE CESAR E CHAVEZ BLVD, PORTLAND, OR 97211-8230
(646) 942-1224
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
6131
OR
2251P0200X
Pediatric Physical Therapist
60167341
WA
Other
Enumeration date
01/21/2010
Last updated
10/29/2012
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