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Individual

HEATHER J DENNETT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.S.P.T

Contact information

Practice address
3600 N INTERSTATE AVE, PORTLAND, OR 97227-1106
(503) 331-3080
Mailing address
6835 N WALL AVE, PORTLAND, OR 97203-5631
(971) 998-8112

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
4695
OR

Other

Enumeration date
11/18/2008
Last updated
11/18/2008
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