Whalio Doctors

NPI 1003169566

Fiona Kristina Gornick, PT

Practitioner Specialist Portland, OR

Practice location

Address
1825 N Williams Ave, Portland, OR 97227-1864
Phone
(503) 288-2615
Fax
(503) 288-0339
Mailing address
1825 N Williams, Portland, OR 97227

Registered specialties

Specialist Primary
Other Service Providers Taxonomy 174400000X Licence 6914 (OR)

Registry record

NPI
1003169566
Entity type
Individual
Sex (as registered)
Female
NPI issued
22 Oct 2012
Record last updated
22 Oct 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.