ORION LAMBERT KOOISTRA

PORTLAND, OR
NPI1376854992
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225100000X Physical Therapist
(Licence: OR  6290)
Enumeration Date2010-06-29
Last Update Date2021-03-12
Business Address
ORION LAMBERT KOOISTRA DPT
3942 NE 11TH AVE
PORTLAND, OR 97212-1236
Phone number: 503-334-9799
Mailing Address
ORION LAMBERT KOOISTRA DPT
3942 NE 11TH AVE
PORTLAND, OR 97212-1236
Phone number: 503-334-9799
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