BRIETTA LISE KUBAK

PORTLAND, OR
NPI1083015804
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225100000X Physical Therapist
(Licence: OR  60791)
Enumeration Date2014-09-11
Last Update Date2018-02-20
Business Address
Ms. BRIETTA LISE KUBAK DPT
1630 SW MORRISON ST
PORTLAND, OR 97205-1916
Phone number: 503-227-7774
Mailing Address
Ms. BRIETTA LISE KUBAK DPT
1630 SW MORRISON ST
PORTLAND, OR 97205-1916
Phone number: 503-227-7774