Individual
ADDISON BROWN WISE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
1554 GARDEN ST STE 103, WEST LINN, OR 97068-3278
(503) 723-0347
Mailing address
1905 SE 192ND AVE STE 109, CAMAS, WA 98607-7415
(360) 210-5440
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
63573
OR
Other
Enumeration date
02/07/2020
Last updated
05/13/2024
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