Individual
LORRAINE J RESOFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.T.R, CHT
Contact information
Practice address
2797 NW 9TH ST, CORVALLIS, OR 97330-3857
(541) 207-0910
Mailing address
2797 NW 9TH ST, CORVALLIS, OR 97330-3857
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
979955
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
022564
—
OR
Enumeration date
05/15/2006
Last updated
08/22/2014
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