Individual
DR. LILLIE ANN KOEHLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
10180 SE SUNNYSIDE RD, CLACKAMAS, OR 97015-8970
(503) 813-2000
Mailing address
5540 SE LONG ST, PORTLAND, OR 97206-4953
(541) 280-2755
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
64635
OR
Other
Enumeration date
08/05/2022
Last updated
08/05/2022
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