Jenny Lynn Wadman, pt
Physical Therapist in Portland, OR. Individual provider (NPI-1).
NPI number1346352051
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1346352051
- Entity type
- Individual (NPI-1)
- Name
- Ms. Jenny Lynn Wadman
- Credential
- pt
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Aug 31, 2006
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | PT00005328 | WA | Yes |
Practice location
2701 Nw Vaughn StSuite 140
Portland, OR 97210-5311
Phone 503-499-5144
Mailing address
1526 Se Taylor StPortland, OR 97214-2654
Phone 503-239-7025
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