Individual
ASHTON E LAGUTCHIK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
3322 N VANCOUVER AVE, PORTLAND, OR 97227-1563
(503) 200-6650
(503) 205-0748
Mailing address
790 REMINGTON BLVD, BOLINGBROOK, IL 60440-4909
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
09/18/2019
Last updated
09/18/2019
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