Individual
KAREN LEIGH WISNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MPT
Contact information
Practice address
3710 SW VETERANS HOSPITAL RD, PORTLAND, OR 97239-2964
(503) 721-7851
Mailing address
200 GREENRIDGE DR, # 103, LAKE OSWEGO, OR 97035-8849
(530) 966-3083
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5541
OR
Other
Enumeration date
04/02/2008
Last updated
04/02/2008
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