KELLY L VON BARGEN

MILWAUKIE, OR
NPI1508302241
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: OR  09654)
Additional Taxonomies225700000X Massage Therapist
(Licence: OR  22780)
Enumeration Date2017-01-18
Last Update Date2018-11-01
Business Address
KELLY L VON BARGEN PTA, LMT
4560 SE INTERNATIONAL WAY STE 100
MILWAUKIE, OR 97222-4628
Phone number: 971-206-2314
Mailing Address
KELLY L VON BARGEN PTA, LMT
287 NE 3RD ST APT 209
GRESHAM, OR 97030-7722
Phone number: 971-361-6349