Individual
MICHELLE MARIE FREITAS-DASSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T
Contact information
Practice address
1111 NE 99TH AVENUE, SUITE 300, PORTLAND, OR 97220
(503) 216-5410
Mailing address
1111 NE 99TH AVE, PORTLAND, OR 97220-9428
(503) 810-4926
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
4440
OR
Other
Enumeration date
05/07/2007
Last updated
07/31/2018
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