Individual
LEA WITTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
745 NE 122ND AVE, PORTLAND, OR 97230-2001
(530) 252-0241
Mailing address
745 NE 122ND AVE, PORTLAND, OR 97230-2001
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
06/09/2021
Last updated
06/09/2021
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