Individual
ADRIANA SANDOVAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3838 PACIFIC AVE, FOREST GROVE, OR 97116-2224
(503) 357-1706
Mailing address
14090 SW TEAL BLVD # 17B, BEAVERTON, OR 97008-9210
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
63420
OR
Other
Enumeration date
11/01/2019
Last updated
11/01/2019
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