Individual
GAYLE MINNICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
524 NE 167TH PL, PORTLAND, OR 97230-6104
(971) 275-3334
Mailing address
524 NE 167TH PL, PORTLAND, OR 97230-6104
(971) 275-3334
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
2555
NM
225100000X
Physical Therapist
2699
AL
225100000X
Physical Therapist
Primary
5288
OR
225100000X
Physical Therapist
7054
CO
Other
Enumeration date
06/04/2007
Last updated
07/11/2023
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