Individual
LISA M TONEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
2101 NW PROFESSIONAL DR, SUITE 2, CORVALLIS, OR 97330-3888
(541) 752-0545
(541) 757-0545
Mailing address
2101 NW PROFESSIONAL DR, SUITE 2, CORVALLIS, OR 97330-3888
(541) 752-0545
(541) 757-0545
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
3690
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
831588000
BLUE CROSS BLUE SHIELD
OR
Enumeration date
10/09/2007
Last updated
09/09/2008
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