Individual
MISS DIANA MARIE PHILIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
4805 NE GLISAN ST, PORTLAND, OR 97213-2933
(503) 215-5266
Mailing address
20571 SW KEYLOCK LN, BEAVERTON, OR 97006-6562
(503) 709-3042
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5017
OR
Other
Enumeration date
06/08/2007
Last updated
07/08/2007
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