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Individual

CARLA JANE HORTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PT

Contact information

Practice address
4242 COMMERCE ST, STE A, EUGENE, OR 97402-5412
(541) 484-9632
(541) 484-7466
Mailing address
16083 SW UPPER BOONES FERRY RD, STE 300, TIGARD, OR 97224-7736
(800) 219-8835
(503) 639-9699

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2986
OR
225100000X
Physical Therapist
RPT719
ID

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
275341
OR
Enumeration date
11/16/2005
Last updated
11/08/2012
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