FAITH DANETTE GABRIELSON

PORTLAND, OR
NPI1780881656
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: OR  7364)
Enumeration Date2007-07-02
Last Update Date2008-10-02
Business Address
-- FAITH DANETTE GABRIELSON LPTA
11325 NE WEIDLER ST
PORTLAND, OR 97220-1950
Phone number: 503-251-3776
Mailing Address
-- FAITH DANETTE GABRIELSON LPTA
860 NW ANGELINE AVE
GRESHAM, OR 97030-5326
Phone number: 360-616-0924
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