Individual
SUE ELLEN STEWART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
12540 SW 68TH AVE, TIGARD, OR 97223-8597
(503) 974-9078
(503) 974-9083
Mailing address
12540 SW 68TH AVE, TIGARD, OR 97223-8597
(503) 974-9078
(503) 974-9083
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
0960
OR
Other
Enumeration date
08/31/2006
Last updated
05/31/2023
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