Individual
GINA TERHUNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.P.T.
Contact information
Practice address
4415 SW VERMONT ST, PORTLAND, OR 97219-1020
(503) 244-0570
(503) 244-0572
Mailing address
16083 SW UPPER BOONES FERRY RD, SUITE 300, TIGARD, OR 97224-7736
(800) 219-8835
(503) 639-9699
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
6144
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0258759
WASHINGTON L&I
OR
05
—
500616090
—
OR
Enumeration date
12/18/2009
Last updated
11/13/2012
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