Individual
AIMEE ROSEBORROUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
61615 ATHLETIC CLUB DR, BEND, OR 97702-3247
(541) 382-7890
(541) 382-7498
Mailing address
11481 SW HALL BLVD, SUITE 201, PORTLAND, OR 97223-8403
(800) 219-8835
(503) 639-9699
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
6478
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500639251
—
OR
Enumeration date
09/21/2011
Last updated
08/16/2012
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