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-- LAWRENCE ANDES -- PT

Individual Provider (NPI-1) Active

Physical Therapist

Provider Information

NPI Number
1841402955
Provider Type
Individual Provider (NPI-1)
Credentials
PT
Status
Active

Contact & Location

Address
5420 NE GLISAN ST, PORTLAND, OR, 972133063
Phone
(503) 215-4033
Fax
(503) 238-4553

Specialties & Taxonomies

Physical Therapist Primary License: OR #0613

All Addresses

MAILING

4258 SE 15TH ST

GRESHAM, OR, 970809121

(503) 661-3851

LOCATION

5420 NE GLISAN ST

PORTLAND, OR, 972133063

(503) 215-4033