Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225100000X | Physical Therapist | 1997 | OR |
NPI | 1003084922 |
---|---|
Provider Name | Janet R Oconnor |
First Address | Hillsboro, OR 97123-4240 |
Second Address | Hillsboro, OR 97123-4240 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/02/2008 |
Last Update Date | 13/02/2008 |