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Individual

ANDREA NICOLE DOEPKER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DPT

Contact information

Practice address
6530 SW 30TH AVE, PORTLAND, OR 97239-1007
(503) 244-7533
(503) 244-2396
Mailing address
6530 SW 30TH AVE, AVAMERE CRESTVIEW OF PORTLAND, PORTLAND, OR 97239
(503) 244-7533
(503) 244-2396

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
6417
OR
2251P0200X
Pediatric Physical Therapist
2484
NV
2251P0200X
Pediatric Physical Therapist
6417
OR
2251P0200X
Pediatric Physical Therapist
PT60199887
WA

Other

Enumeration date
09/01/2010
Last updated
03/31/2011
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