Individual
DEBRA CORDIE HIMES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPTA
Contact information
Practice address
1724 NW WALMER DR, PORTLAND, OR 97229-4218
(503) 292-4469
Mailing address
1724 NW WALMER DR, PORTLAND, OR 97229-4218
(503) 292-4469
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
7134
OR
Other
Enumeration date
07/02/2008
Last updated
07/02/2008
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