Individual
AMANDA JERKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
8324 SE 17TH AVE, PORTLAND, OR 97202-7307
(503) 236-3837
(503) 206-8203
Mailing address
16083 SW UPPER BOONES FERRY RD STE 300, TIGARD, OR 97224-7736
(503) 443-6156
(503) 639-9699
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
63085
OR
Other
Enumeration date
12/24/2018
Last updated
12/24/2018
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