JULIE MICHELLE LARSON

CLACKAMAS, OR
NPI1720058530
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: OR  4769)
Additional Taxonomies225100000X Physical Therapist
(Licence: MA  40QA00746800)
Enumeration Date2006-01-24
Last Update Date2009-05-15
Business Address
-- JULIE MICHELLE LARSON Physical Therapist
12550 SE 93RD AVE STE 265
CLACKAMAS, OR 97015-9786
Phone number: 503-659-9155
Mailing Address
-- JULIE MICHELLE LARSON Physical Therapist
11481 SW HALL BLVD STE 201
PORTLAND, OR 97223-8403
Phone number: 800-219-8835