Individual
ANNA ELIZABETH SLADE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
350 S 8TH ST, LEBANON, OR 97355-2242
(541) 259-1221
Mailing address
25117 SW PARKWAY AVE, STE D, WILSONVILLE, OR 97070-9697
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
61000
OR
Other
Enumeration date
05/20/2015
Last updated
05/20/2015
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