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Search › Oregon › Physical Therapy Assistant

Jackie Moffenbier, PTA

NPI 1336405075 · on the registry since 2012

Practice

Address
6010 Sw Shattuck Rd.
Portland, OR 97221
Phone
(503) 246-8811
Fax
(503) 246-9957
Organisation at this address
Marquis Companies I, Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
18

Registry record

Primary taxonomy
Physical Therapy Assistant
225200000X
Licence states on file
OR
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2012-04-06

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oregon