Individual
MARY FERRELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1675 SW MARLOW AVE STE 400, PORTLAND, OR 97225-5102
(503) 862-8105
(503) 902-9495
Mailing address
1675 SW MARLOW AVE STE 400, PORTLAND, OR 97225-5102
(503) 862-8105
(503) 902-9495
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
07259
OR
Other
Enumeration date
05/07/2017
Last updated
05/07/2017
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