Andrew Lake

NPI #1093443145 in Portland, Oregon

Provider Information

NPI Number: 1093443145
Entity Type: Individual
Name: Andrew Lake
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Enumeration Date: Aug 8, 2022
Last Updated: Aug 8, 2022

Practice Location

Address: 16083 SW UPPER BOONES FERRY RD STE 320
City: Portland
State: Oregon
ZIP Code: 97224-7736
Phone: (503) 443-6156

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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