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Organization
IPA PHYSIO PORTLAND LLC
Active
Organization
IPA PHYSIO PORTLAND LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTIN FOSTER (OFFICE ADMINISTRATOR)
(503) 616-0313
Entity
Organization
Contact information
Practice address
7412 SW BEAVERTON HILLSDALE HWY STE 110, PORTLAND, OR 97225-2167
(503) 616-0313
Mailing address
7412 SW BEAVERTON HILLSDALE HWY STE 110, PORTLAND, OR 97225-2167
(503) 616-0313
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
NULL
225100000X
Physical Therapist
—
—
261QP2000X
Physical Therapy Clinic/Center
Primary
05926
OR
Other
Enumeration date
09/20/2017
Last updated
02/20/2025
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