Individual
CAELIE JAYE WINCHESTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
16784 SW VINCENT ST, BEAVERTON, OR 97007-1912
(971) 506-4566
Mailing address
8835 N HARTMAN ST, PORTLAND, OR 97203-1008
(405) 630-9799
Taxonomy
Speciality
Code
Description
License number
State
172M00000X
Mechanotherapist
Primary
18337
OR
Other
Enumeration date
10/31/2012
Last updated
10/31/2012
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