Most Relevant Information
Provider Data
| NPI Number: | 1003413550 |
| Provider Name: | JENNA VALENTINE DPT |
| Entity Type: | Individual |
| Taxonomy Code: | 225100000X |
| Specialty: | Physical Therapist |
| License Number: | 63839 |
Most Important Dates
| Enumeration Date: | 10/07/2020 |
| Last Updated: | 04/11/2022 |
Provider Practice Location
9204 SE MITCHELL ST
PORTLAND
OR
972663831
Practice Location Phone/Fax
| Phone: | 5037776746 |
| Fax: |
Provider Mailing Location
9204 SE MITCHELL ST
PORTLAND
OR
972663831
Provider Mailing Phone/Fax
| Phone: | 5037776746 |
| Fax: | 5036399699 |