Individual
KARISSA JEAN SANDOVAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
2020 8TH AVE STE D, WEST LINN, OR 97068-4657
(503) 387-5449
Mailing address
15481 SE RAINIER CT, CLACKAMAS, OR 97015-9410
(805) 754-5525
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
64345
OR
Other
Enumeration date
05/09/2022
Last updated
05/09/2022
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