Individual
LISA WATSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
120 N EVEREST ST STE C, NEWBERG, OR 97132-2116
(503) 538-8952
Mailing address
120 N EVEREST ST STE C, NEWBERG, OR 97132-2116
(503) 538-8952
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
64110
OR
Other
Enumeration date
06/01/2021
Last updated
06/01/2021
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