KATHY SMITH WIJAYA

CLACKAMAS, OR
NPI1619226990
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: OR  4057)
Enumeration Date2012-09-02
Last Update Date2021-12-17
Business Address
Mrs. KATHY SMITH WIJAYA PT
10180 SE SUNNYSIDE RD
CLACKAMAS, OR 97015-8970
Phone number: 503-571-2091
Mailing Address
Mrs. KATHY SMITH WIJAYA PT
17839 SW HART DR
BEAVERTON, OR 97007-6796
Phone number: 503-430-5158
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