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Individual

JAN PERRON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PT

Contact information

Practice address
810 12TH ST, HOOD RIVER, OR 97031-1587
(541) 387-6339
Mailing address
4974 ALEXANDER DR, MOUNT HOOD PARKDALE, OR 97041-7604

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
04700
OR

Other

Enumeration date
08/07/2018
Last updated
08/07/2018
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