GIJSBERT JEROEN LAPORT

SALEM, OR
NPI1194987107
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: OR  2803)
Enumeration Date2008-06-30
Last Update Date2008-06-30
Business Address
Mr. GIJSBERT JEROEN LAPORT RPT
4515 SUNNYSIDE RD SE
SALEM, OR 97302-3928
Phone number: 503-370-8284
Mailing Address
Mr. GIJSBERT JEROEN LAPORT RPT
4515 SUNNYSIDE RD SE
SALEM, OR 97302-3928
Phone number: 503-370-8284