DONNA LIANNE JACKSON

LAKE OSWEGO, OR
NPI1942401351
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: OR  2081)
Enumeration Date2007-05-31
Last Update Date2007-07-08
Business Address
-- DONNA LIANNE JACKSON PT
4035 MERCANTILE DR SUITE 108
LAKE OSWEGO, OR 97035-2546
Phone number: 503-216-2788
Mailing Address
-- DONNA LIANNE JACKSON PT
11546 SW LAKEVIEW TER
TIGARD, OR 97223-7859
Phone number: 503-524-4249
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