Individual
MS. AMY TITCOMB CONWAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, PT
Contact information
Practice address
10100 SE SUNNYSIDE RD, CLACKAMAS, OR 97015
(503) 652-2880
Mailing address
7833 SE 16TH AVE, PORTLAND, OR 97202
(503) 235-7505
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
4742
OR
Other
Enumeration date
09/15/2006
Last updated
07/08/2007
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