Individual
BRENDA S SWANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
5050 NE HOYT ST, PORTLAND, OR 97213-2991
(503) 215-1653
Mailing address
5050 NE HOYT ST, PORTLAND, OR 97213-2991
(503) 215-1653
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
4479
OR
Other
Enumeration date
08/07/2007
Last updated
08/07/2007
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