Doctor Name: | MRS. JAIME LEIGH DUTRA DOPPEE |
NPI Number: | 1003899592 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PT |
License Number: | 4774 |
Business Practice Address: | 25030 Sw Parkway Ave 101 Wilsonville, OR - 970709816 |
Business Phone Number: | 5035821073 |
Business Fax Number: | 5035821093 |
Mailing Address: | 18517 Sw Colfelt Ln, SHERWOOD |
State: | OR |
Postal Code: | 971408873 |
Phone Number: | 5039258780 |
Fax Number: | |
NPI Enumeration Date: | 11/29/2005 |
NPI Last Update Date: | 02/23/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2251X0800X |
License Number: | 4774 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OR |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | Orthopedic |
Taxonomy Definition: |