# PROACTIVE PHYSICAL THERAPY TUALATIN

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1003295775
- **Authorized official:** MICHELLE MCCALL (BILLING DIRECTOR / CREDENTIALING)
- **Authorized official phone:** (503) 489-6250

## Contact information

- **Practice address:** 19255 SW 65TH AVE, SUITE 250, TUALATIN, OR 97062-7451
- **Practice address phone:** (503) 545-0526
- **Practice address fax:** (503) 855-4568
- **Mailing address:** 1480 NE VILLAGE ST, FAIRVIEW, OR 97024-3827
- **Mailing address phone:** (503) 489-6250
- **Mailing address fax:** (503) 489-1650

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | — | OR | Yes |

## Other

- **Enumeration date:** 05/27/2015
- **Last updated:** 02/26/2016