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Individual

MS. EMILY SOINEY IVERSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
P.T.

Contact information

Practice address
1730 SW SKYLINE BLVD, SUITE 109, PORTLAND, OR 97221
(503) 715-7237
(503) 715-0496
Mailing address
1730 SW SKYLINE BLVD, SUITE 109, PORTLAND, OR 97221
(503) 715-7237
(503) 715-0496

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5262
OR
225100000X
Physical Therapist
7414
MN

Other

Enumeration date
06/12/2006
Last updated
07/21/2022
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