Individual
ANNA JORDAN KOMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT, OLS
Contact information
Practice address
1500 SW 1ST AVE., SUITE 150, PORTLAND, OR 97201
(503) 222-1955
(503) 222-1485
Mailing address
1500 SW 1ST AVE., SUITE 150, PORTLAND, OR 97201
(503) 222-1955
(503) 222-1485
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
61766
OR
2251X0800X
Orthopedic Physical Therapist
Primary
61766
OR
Other
Enumeration date
08/22/2016
Last updated
09/30/2022
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