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Individual

PAULINE AMY TRAN-GARCIA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
5920 NE RAY CIR, SUITE 160, HILLSBORO, OR 97124-6429
(503) 844-9294
(503) 615-0212
Mailing address
16083 SW UPPER BOONES FERRY RD, SUITE 300, TIGARD, OR 97224-7736
(800) 219-8835
(503) 639-9699

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
61887
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
500717614
OR
Enumeration date
11/09/2016
Last updated
05/05/2017
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