Individual
VANESSA E LANGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
11782 SW BARNES RD STE 100, PORTLAND, OR 97225-5931
(503) 214-5200
(503) 906-6613
Mailing address
11782 SW BARNES RD STE 100, PORTLAND, OR 97225-5931
(971) 217-4529
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
62917
OR
Other
Enumeration date
12/31/2018
Last updated
12/31/2018
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