Individual
MRS. DIANE I STOOTHOFF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
10220 SW GREENBURG RD, SUITE 201, PORTLAND, OR 97223-5503
(503) 570-3665
Mailing address
25117 SW PARKWAY AVE. STE D, WILSONVILLE, OR 97070
(509) 949-0493
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1569
OR
Other
Enumeration date
12/03/2008
Last updated
04/02/2020
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