Whalio Doctors

NPI 1467840322

Amber Renee Faw-Rivera, PTA

Practitioner Physical Therapy Assistant Lake Oswego, OR

Practice location

Address
4550 Carman Dr, Lake Oswego, OR 97035-2520
Phone
(503) 675-6055
Mailing address
25117 SW Parkway Ave STE D, Wilsonville, OR 97070-9697

Registered specialties

Physical Therapy Assistant Primary
Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225200000X Licence 08996 (OR)

Registry record

NPI
1467840322
Entity type
Individual
Sex (as registered)
Female
NPI issued
30 Dec 2014
Record last updated
30 Dec 2014

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.