Individual
GALE ALLEN ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
14120 N NEWPORT HWY, STE B, MEAD, WA 99021-8600
(509) 468-4961
Mailing address
16083 SW UPPER BOONES FERRY RD, STE 300, TIGARD, OR 97224-7736
(800) 219-8835
(503) 443-1402
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
1889
OR
225100000X
Physical Therapist
Primary
PT00005906
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8334930
—
WA
Enumeration date
12/02/2005
Last updated
10/29/2012
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