Individual
JENEAN LYNN HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
3101 SE 192ND AVE STE 104, VANCOUVER, WA 98683-1443
(360) 553-7480
Mailing address
PO BOX 3158, PORTLAND, OR 97208-3158
(503) 215-6494
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
64180
OR
225100000X
Physical Therapist
8799
MN
225100000X
Physical Therapist
Primary
PT61493903
WA
Other
Enumeration date
07/27/2011
Last updated
10/27/2023
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