Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2251G0304X | Physical Therapist - Geriatrics | 6439 | OR |
NPI | 1114296043 |
---|---|
Provider Name | Mrs. Cynthia Margaret Louden |
First Address | Hillsboro, OR 97124-6767 |
Second Address | Tigard, OR 97224-3446 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/12/2011 |
Last Update Date | 21/12/2011 |