Rachel Cisco, PTA

NPI #1023664943 in Lake Oswego, Oregon

Provider Information

NPI Number: 1023664943
Entity Type: Individual
Name: Rachel Cisco, PTA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapy Assistant
Credential: PTA
Enumeration Date: Aug 15, 2019
Last Updated: Aug 15, 2019

Practice Location

Address: 4550 CARMAN DR
City: Lake Oswego
State: Oregon
ZIP Code: 97035-2520
Phone: (503) 675-6055

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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