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Individual

MRS. JENNIFER GEORGE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PT

Contact information

Practice address
18040 SW LOWER BOONES FERRY RD STE 200, TIGARD, OR 97224-7259
(503) 216-0680
(503) 216-0685
Mailing address
18040 SW LOWER BOONES FERRY RD STE 200, TIGARD, OR 97224-7259
(503) 216-0680
(503) 216-0685

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
4099
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
4099
PHYSICAL THERAPY LICENSE
OR
Enumeration date
08/21/2018
Last updated
08/21/2018
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