Individual
JAIME MUSGRAVE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9135 SW BARNES RD, STE 361, PORTLAND, OR 97225-9720
(503) 216-2610
Mailing address
1955 NW HOYT ST APT 26, PORTLAND, OR 97209-1261
(360) 910-9265
Taxonomy
Speciality
Code
Description
License number
State
2251N0400X
Neurology Physical Therapist
Primary
60388
OR
Other
Enumeration date
08/01/2018
Last updated
08/01/2018
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