Individual
MARISA ROSE MOWREY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
6327 SE MILWAUKIE AVE, PORTLAND, OR 97202-5418
(503) 353-1278
(503) 353-1273
Mailing address
PO BOX 22075, MILWAUKIE, OR 97269-2075
(503) 659-4777
(503) 652-5223
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
60098
OR
Other
Enumeration date
06/07/2010
Last updated
02/20/2014
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