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Individual

ERIKA MARIE EISENSTECKEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DPT

Contact information

Practice address
12045 SE STANLEY AVE, PORTLAND, OR 97222
(888) 266-2686
Mailing address
4146 SE 66TH AVE, PORTLAND, OR 97206
(530) 545-2548

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
24678
CA
225100000X
Physical Therapist
Primary
4713
OR

Other

Enumeration date
06/21/2007
Last updated
07/08/2007
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