Individual
DEBRA IRVINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
9205 SW BARNES RD, PORTLAND, OR 97225-6603
(503) 216-4131
Mailing address
15175 SW GIBRALTAR CT, BEAVERTON, OR 97007-6603
(503) 804-7569
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
4556
OR
Other
Enumeration date
08/09/2018
Last updated
05/06/2020
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