Individual
MR. GERALDINE DONNA WARNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
3600N INTERSTATE AVE, PORTLAND, OR 97227-1116
(503) 249-3399
Mailing address
2801 NW 24TH AVE, CAMAS, WA 98607
(360) 834-3551
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2010
OR
Other
Enumeration date
03/16/2007
Last updated
07/08/2007
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