Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2251X0800X | Physical Therapist - Orthopedic | 4774 | OR |
NPI | 1003899592 |
---|---|
Provider Name | Mrs. Jaime Leigh Dutra Doppee |
First Address | Sherwood, OR 97140-8873 |
Second Address | Wilsonville, OR 97070-9816 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/11/2005 |
Last Update Date | 23/02/2009 |