Doctor Name: | MRS. CARLEE OLSON GOOD |
NPI Number: | 1366635823 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | D.P.T. |
License Number: | 4448 |
Business Practice Address: | 17360 Holy Names Dr Building D Lake Oswego, OR - 970345133 |
Business Phone Number: | 5036752004 |
Business Fax Number: | 5036752079 |
Mailing Address: | 97 Oswego Smt, LAKE OSWEGO |
State: | OR |
Postal Code: | 970351078 |
Phone Number: | 5038058933 |
Fax Number: | 5036752079 |
NPI Enumeration Date: | 08/19/2007 |
NPI Last Update Date: | 08/19/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 4448 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OR |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |