Individual
SAMANTHA ELAINE DODGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1200 BIRCHWOOD AVE, BELLINGHAM, WA 98225-1302
(360) 734-9292
Mailing address
25117 SW PARKWAY AVE STE D, WILSONVILLE, OR 97070-9697
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
—
Other
Enumeration date
03/14/2018
Last updated
03/14/2018
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