Individual
JEFF T. LANGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
3025 N VANCOUVER AVE, PORTLAND, OR 97227-1542
(503) 413-1500
(503) 413-4379
Mailing address
3025 N VANCOUVER AVE, PORTLAND, OR 97227-1542
(503) 413-1500
(503) 413-4379
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
721
OR
Other
Enumeration date
12/15/2006
Last updated
07/08/2007
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