Individual
GERALD CONEDERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
9205 SW BARNES RD, PORTLAND, OR 97225-6603
(503) 216-8169
Mailing address
2266 SE SPRUCE AVE, PORTLAND, OR 97214-5362
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
0418
OR
Other
Enumeration date
08/28/2018
Last updated
08/28/2018
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