Individual
JAMELLE KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
14445 SE MOUNTAIN RIDGE AVE, HAPPY VALLEY, OR 97086-4042
(503) 891-4586
Mailing address
14445 SE MOUNTAIN RIDGE AVE, HAPPY VALLEY, OR 97086-4042
(503) 891-4586
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
06378
OR
Other
Enumeration date
05/18/2009
Last updated
09/20/2024
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