Individual
KRISTOFFER DE LEON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
210 W ELLENDALE AVE STE 100, DALLAS, OR 97338-1790
(503) 623-2433
Mailing address
210 W ELLENDALE AVE STE 100, DALLAS, OR 97338-1790
(503) 623-2433
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
65442
OR
Other
Enumeration date
08/05/2024
Last updated
08/08/2024
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