Individual
EMILY HYLA DECARLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MPT
Contact information
Practice address
1221 SE MADISON ST, PORTLAND, OR 97214-3890
(503) 445-7767
Mailing address
1221 SE MADISON ST, PORTLAND, OR 97214-3890
(503) 445-7767
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
18052
MD
225100000X
Physical Therapist
2305005033
VA
225100000X
Physical Therapist
Primary
3094
OR
Other
Enumeration date
08/31/2007
Last updated
12/19/2011
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