Individual
DIANE KWON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3303 S BOND AVE, PORTLAND, OR 97239-4501
(503) 317-9371
Mailing address
3303 S BOND AVE, PORTLAND, OR 97239-4501
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
63849
OR
Other
Enumeration date
02/26/2021
Last updated
04/24/2026
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