Individual
FAERYNN TILGNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
365 S REDWOOD ST, CANBY, OR 97013-2405
(503) 651-2020
Mailing address
10974 SW DURHAM RD APT 56, TIGARD, OR 97224-4350
(971) 301-2538
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
65287
OR
Other
Enumeration date
08/06/2024
Last updated
08/06/2024
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