HEATHER JEAN DEFORD

PORTLAND, OR
NPI1427065317
Former NameHEATHER JEAN DENISTON
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: OR  4250)
Enumeration Date2006-08-02
Last Update Date2007-07-08
Business Address
-- HEATHER JEAN DEFORD MPT
9204 SE MITCHELL ST
PORTLAND, OR 97266
Phone number: 503-777-6746
Mailing Address
-- HEATHER JEAN DEFORD MPT
9204 SE MITCHELL ST
PORTLAND, OR 97266
Phone number: 503-777-6746
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