NPI 1043466493
Jennifer Ann Oliver, LPTA
Practice location
- Address
- 12441 SE Stark St, Portland, OR 97233-1053
- Phone
- (503) 255-7040
- Mailing address
- 5880 Rockwood CT, Lake Oswego, OR 97035-4146
Registered specialties
Physical Therapy Assistant
Primary
Registry record
- NPI
- 1043466493
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 15 Aug 2008
- Record last updated
- 15 Aug 2008
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.