# HWY PT CLINIC LLC

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

## Provider details

- **NPI number:** 1073212684
- **Authorized official:** RAJENDRA PUSULURI PT (OWNER)
- **Authorized official phone:** (503) 374-3824

## Contact information

- **Practice address:** 2615 PORTLAND RD NE, SALEM, OR 97301-0124
- **Practice address phone:** (971) 202-1979
- **Mailing address:** 2615 PORTLAND RD NE, SALEM, OR 97301-0124
- **Mailing address phone:** (971) 202-1979

## Taxonomy

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

## Other

- **Enumeration date:** 03/02/2023
- **Last updated:** 05/29/2026