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Individual

MRS. KRISTEN Z. GRBAVAC O'HALLORAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PT

Contact information

Practice address
1515 PORTLAND ROAD, SUITE 102, NEWBERG, OR 97132
(503) 537-1462
(503) 537-1808
Mailing address
1515 PORTLAND ROAD, SUITE 102, NEWBERG, OR 97132
(503) 537-1462
(503) 537-1808

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
PT009008
GA
225100000X
Physical Therapist
Primary
PT04909
OR

Other

Enumeration date
10/12/2012
Last updated
03/08/2017
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