Individual
BETH ELAINE JENNINGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
15950 SW MILLIKAN WAY, BEAVERTON, OR 97003-5170
(503) 646-0161
Mailing address
15950 SW MILLIKAN WAY, BEAVERTON, OR 97003-4435
(503) 221-0161
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
61757
OR
225100000X
Physical Therapist
PT2613
ME
Other
Enumeration date
08/02/2012
Last updated
07/11/2017
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