Individual
PATRICIA YVONNE GATES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2211 E. MILL PLAIN BLVD, PORTLAND, OR 98661-4329
(360) 418-6001
Mailing address
2121 NE 152ND ST, VANCOUVER, WA 98686-2107
(360) 574-8402
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1161
OR
225100000X
Physical Therapist
PT00002888
WA
Other
Enumeration date
08/28/2006
Last updated
07/08/2007
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