Wendy Lee Larson, PT
Physical Therapist in Portland, OR. Individual provider (NPI-1).
NPI number1528043304
StatusActive
Last updated in NPPESNov 17, 2007
Details
- NPI
- 1528043304
- Entity type
- Individual (NPI-1)
- Name
- Wendy Lee Larson
- Credential
- PT
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Dec 14, 2005
- Last updated
- Nov 17, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | 2525 | OR | Yes |
Practice location
6274 Sw Capitol HwyPortland, OR 97239-2674
Phone 503-246-3283
Mailing address
6274 Sw Capitol HwyPortland, OR 97239-2674
Phone 503-246-3283
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