Individual
CARLY LYNN NEGRILA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
2005 ELM ST STE 200, FOREST GROVE, OR 97116-2781
(503) 357-9810
Mailing address
16083 SW UPPER BOONES FERRY RD STE 300, TIGARD, OR 97224-7736
(503) 443-6156
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
63418
OR
Other
Enumeration date
09/05/2019
Last updated
09/05/2019
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