Individual
MEGAN JO GABOUREL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
11782 SW BARNES RD STE 100, PORTLAND, OR 97225-5931
(503) 906-4323
(503) 906-4333
Mailing address
11782 SW BARNES RD STE 100, PORTLAND, OR 97225-5931
(503) 906-4323
(503) 906-4333
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
PT63231
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PT63231
PT LICENSE
OR
Enumeration date
07/15/2019
Last updated
07/15/2019
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