Individual
KATHLEEN GENDRON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
7515 NE AMBASSADOR PL STE C, PORTLAND, OR 97220-1379
(503) 261-8599
(503) 408-8932
Mailing address
12200 NE BEACON ST, CASCADE LOCKS, OR 97014-6637
(971) 258-0503
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
06484
OR
Other
Enumeration date
11/03/2008
Last updated
05/22/2023
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