Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2251G0304X | Physical Therapist - Geriatrics | 05011578A | IN |
Y | 2251G0304X | Physical Therapist - Geriatrics | 6752 | OR |
NPI | 1356948335 |
---|---|
Provider Name | Tzurei Chen |
First Address | Hillsboro, OR 97123-2959 |
Second Address | Beaverton, OR 97005-2191 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/10/2020 |
Last Update Date | 02/10/2020 |