Individual
NICOLE CRAIG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
7927 SE ORIENT DR, GRESHAM, OR 97080-8847
(503) 274-8659
Mailing address
11486 SW BERLIN AVE, WILSONVILLE, OR 97070-7260
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
64078
OR
Other
Enumeration date
07/27/2022
Last updated
07/27/2022
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