Individual
JODY MIKI DOZONO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MPT, GCS
Contact information
Practice address
14005 SE MALOY LN, PORTLAND, OR 97267-1035
(360) 839-1281
Mailing address
14005 SE MALOY LN, PORTLAND, OR 97267-1035
(360) 839-1281
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
62302
OR
Other
Enumeration date
12/16/2021
Last updated
12/16/2021
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