Individual
MS. DONELLE LEE ODREN
Active
Individual
MS. DONELLE LEE ODREN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT, DPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT00005793
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000010173043
REGENCE
ID
05
—
1669495594
—
ID
Enumeration date
07/25/2006
Last updated
10/31/2011
Update your record
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