Individual
EVELYN LEE SCARBOROUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
14711 FRYELANDS BLVD SE STE 153, MONROE, WA 98272-2950
(360) 794-4892
(360) 794-4679
Mailing address
16083 SW UPPER BOONES FERRY RD STE 300, TIGARD, OR 97224-7736
(800) 219-8835
(503) 639-9699
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
08033
LA
225100000X
Physical Therapist
Primary
60757665
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1174173
—
LA
05
—
2090853
—
WA
Enumeration date
07/16/2012
Last updated
10/28/2019
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