ANDREW LAKE

PORTLAND, OR
NPI1093443145
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
Enumeration Date2022-08-08
Last Update Date2022-08-08
Business Address
ANDREW LAKE
16083 SW UPPER BOONES FERRY RD STE 320
PORTLAND, OR 97224-7736
Phone number: 503-443-6156
Mailing Address
ANDREW LAKE
16083 SW UPPER BOONES FERRY RD STE 300
PORTLAND, OR 97224-7736
Phone number: 503-443-6156