Individual
REBECCA BURRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2530 NE HANCOCK ST, PORTLAND, OR 97212-5001
(503) 970-1753
Mailing address
2530 NE HANCOCK ST, PORTLAND, OR 97212-5001
(503) 970-1753
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
6325
OR
Other
Enumeration date
11/08/2010
Last updated
11/08/2010
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