Individual
MARCEY LEE KEEFER HUTCHISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHYSICAL THERAPIST
Contact information
Practice address
121 MCNARY ESTATES DR N, KEIZER, OR 97303-7459
(503) 463-4221
(503) 463-4522
Mailing address
16083 SW UPPER BOONES FERRY RD, STE 300, TIGARD, OR 97224-7736
(800) 219-8835
(503) 639-9699
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2213
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
125968
—
OR
01
—
650016938
RR MEDICARE
OR
Enumeration date
12/20/2005
Last updated
11/05/2014
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