Individual
CASEY JO MCHUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5330 NE PRESCOTT ST, PORTLAND, OR 97218-2158
(503) 288-6585
Mailing address
25117 SW PARKWAY AVE STE D, WILSONVILLE, OR 97070-9697
(971) 364-0611
(971) 364-0610
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
9995
OR
Other
Enumeration date
10/04/2021
Last updated
10/04/2021
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