# TIMBER SPORTS MEDICINE & REHABILITATION

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

## Provider details

- **NPI number:** 1013444280
- **Authorized official:** COLT MULLINS (OWNER)
- **Authorized official phone:** (503) 490-3860

## Contact information

- **Practice address:** 535 SPRINGTREE LN, WEST LINN, OR 97068-5174
- **Practice address phone:** (503) 490-3860
- **Mailing address:** 535 SPRINGTREE LN, WEST LINN, OR 97068-5174
- **Mailing address phone:** (503) 490-3860

## Taxonomy

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

## Other

- **Enumeration date:** 05/17/2017
- **Last updated:** 05/17/2017