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Individual

MRS. KATIE MARIE RISKEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DPT

Contact information

Practice address
5050 NE HOYT ST STE 315, PORTLAND, OR 97213-2982
(503) 215-8580
(503) 215-6485
Mailing address
PO BOX 3158, PORTLAND, OR 97208-3158
(503) 215-6494

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05256
OR

Other

Enumeration date
05/08/2007
Last updated
03/29/2022
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