Individual
ERIN MICHELLE DEROSIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
2005 ELM ST, STE 200, FOREST GROVE, OR 97116-2518
(503) 357-9810
(503) 357-9819
Mailing address
11481 SW HALL BLVD, STE 201, PORTLAND, OR 97223-8403
(503) 443-6156
(503) 639-9699
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5405
OR
Other
Enumeration date
07/19/2007
Last updated
11/07/2007
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