Individual
CYNTHIA ELAINE RETTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
515 TAGGART DR NW, SUITE 150, SALEM, OR 97304-4099
(503) 363-6770
(503) 363-4789
Mailing address
16083 SW UPPER BOONES FERRY RD, SUITE 300, TIGARD, OR 97224-7736
(800) 219-8835
(503) 639-9699
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
26702
CA
225100000X
Physical Therapist
Primary
61829
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500712374
—
OR
Enumeration date
05/24/2013
Last updated
01/20/2017
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