# SOMA POTENTIAL INC

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

## Provider details

- **NPI number:** 1003343062
- **Authorized official:** JODI JAMES DPT (PHYSICAL THERAPIST)
- **Authorized official phone:** (773) 351-5092

## Contact information

- **Practice address:** 3601 MAHLON AVE, EUGENE, OR 97401-8046
- **Practice address phone:** (773) 351-5092
- **Mailing address:** 3601 MAHLON AVE, EUGENE, OR 97401-8046

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QP2000X | Physical Therapy Clinic/Center | 60663 | OR | Yes |

## Other

- **Enumeration date:** 05/20/2017
- **Last updated:** 05/20/2017