Organization
JUDY SIMONSEN LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JUDITH MARIE SIMONSEN LAC, PT (PRESIDENT)
(503) 806-6184
Entity
Organization
Contact information
Practice address
819 SE MORRISON ST, SUITE 120, PORTLAND, OR 97214-6307
(503) 806-6184
(503) 445-7997
Mailing address
819 SE MORRISON ST, SUITE 120, PORTLAND, OR 97214-6307
(503) 806-6184
(503) 445-7997
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
AC00868
OR
261QP2000X
Physical Therapy Clinic/Center
1668
OR
Other
Enumeration date
03/28/2009
Last updated
03/28/2009
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