MISTY PORTASH

MILWAUKIE, OR
NPI1922429455
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: OR  7317)
Enumeration Date2013-12-31
Last Update Date2013-12-31
Business Address
Mrs. MISTY PORTASH PTA
19304 SE RIVER DRIVE CT
MILWAUKIE, OR 97267-6856
Phone number: 503-654-3539
Mailing Address
Mrs. MISTY PORTASH PTA
19304 SE RIVER DRIVE CT
MILWAUKIE, OR 97267-6856
Phone number:
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