Individual
LUCIA PACIOTTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
3130 SE STARK ST, PORTLAND, OR 97214-3000
(503) 535-4863
Mailing address
3130 SE STARK ST, PORTLAND, OR 97214-3000
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
61347
OR
Other
Enumeration date
09/22/2015
Last updated
09/22/2015
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