Individual
TODD GIFFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
COO
Contact information
Practice address
16083 SW UPPER BOONES FERRY RD, SUITE 300, TIGARD, OR 97224-7736
(800) 219-8835
(503) 639-9699
Mailing address
16083 SW UPPER BOONES FERRY RD, SUITE 300, TIGARD, OR 97224-7736
(800) 219-8835
(503) 639-9699
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
02056
OR
Other
Enumeration date
06/16/2016
Last updated
06/16/2016
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