Individual
ANALISA VANOOSTRUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
540 S MAIN ST, MOUNT ANGEL, OR 97362-9540
(503) 845-2736
Mailing address
1310 MCGEE CT NE APT 202, KEIZER, OR 97303-9482
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
63400
OR
Other
Enumeration date
10/15/2019
Last updated
12/02/2020
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