Individual
KATHERINE AVILA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
3880 SE 8TH AVE STE 150, PORTLAND, OR 97202-3774
(503) 308-1488
Mailing address
9730 SW 52ND AVE, PORTLAND, OR 97219-5043
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
64854
OR
Other
Enumeration date
11/27/2018
Last updated
04/15/2024
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