JACKIE LOUISE MOFFENBIER

PORTLAND, OR
NPI1336405075
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: OR  07104)
Enumeration Date2012-04-06
Last Update Date2012-04-06
Business Address
-- JACKIE LOUISE MOFFENBIER PTA
6010 SW SHATTUCK RD.
PORTLAND, OR 97221
Phone number: 503-246-8811
Mailing Address
-- JACKIE LOUISE MOFFENBIER PTA
4560 SE INTERNATIONAL WAY STE. 100
MILWAUKIE, OR 97222
Phone number: 971-206-5200
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