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Organization
PROACTIVE PHYSICAL THERAPY TUALATIN
Active
Organization
PROACTIVE PHYSICAL THERAPY TUALATIN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE MCCALL (BILLING DIRECTOR / CREDENTIALING)
(503) 489-6250
Entity
Organization
Contact information
Practice address
19255 SW 65TH AVE, SUITE 250, TUALATIN, OR 97062-7451
(503) 545-0526
(503) 855-4568
Mailing address
1480 NE VILLAGE ST, FAIRVIEW, OR 97024-3827
(503) 489-6250
(503) 489-1650
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
OR
Other
Enumeration date
05/27/2015
Last updated
02/26/2016
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