Individual
JAMI VICTORIA TALIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
725 SE 202ND AVE, PORTLAND, OR 97233-6105
(503) 665-3118
Mailing address
4560 SE INTERNATIONAL WAY STE 100, MILWAUKIE, OR 97222-4628
(971) 206-5200
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
08974
OR
Other
Enumeration date
09/19/2018
Last updated
09/19/2018
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