Individual
SANDRA LONERGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10121 SE SUNNYSIDE RD STE 210, CLACKAMAS, OR 97015-5708
(503) 416-5540
Mailing address
10121 SE SUNNYSIDE RD STE 210, CLACKAMAS, OR 97015-5708
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
09519
OR
Other
Enumeration date
07/23/2017
Last updated
07/23/2017
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