DIANA LYNN MCDOUGAL

PORTLAND, OR
NPI1750731444
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: OR  7571)
Enumeration Date2016-06-14
Last Update Date2016-06-14
Business Address
-- DIANA LYNN MCDOUGAL LPTA
4531 SE BELMONT ST
PORTLAND, OR 97215-1675
Phone number: 503-215-6556
Mailing Address
-- DIANA LYNN MCDOUGAL LPTA
4531 SE BELMONT ST
PORTLAND, OR 97215-1675
Phone number: 503-215-6556