Individual
TESSA FERNHOLZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4140 N WILLIAMS AVE, PORTLAND, OR 97217-2948
(971) 347-1774
Mailing address
625 KENMOOR AVE SE STE 100, GRAND RAPIDS, MI 49546-2395
(971) 347-1774
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
06/18/2026
Last updated
06/18/2026
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