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Organization
OREGON NEUROSPORT PHYSICAL THERAPY
Active
Organization
OREGON NEUROSPORT PHYSICAL THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL HOWARD BAUM BS, CFMT (PHYSICAL THERAPIST)
(541) 998-9988
Entity
Organization
Contact information
Practice address
680 IVY ST, JUNCTION CITY, OR 97448-1636
(541) 998-9988
(541) 998-9987
Mailing address
PO BOX 275, JUNCTION CITY, OR 97448-0275
(541) 998-9988
(541) 998-9987
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
NULL
225100000X
Physical Therapist
Primary
—
—
2251N0400X
Neurology Physical Therapist
—
NULL
2251N0400X
Neurology Physical Therapist
—
—
2251S0007X
Sports Physical Therapist
—
NULL
2251S0007X
Sports Physical Therapist
—
—
Other
Enumeration date
01/23/2007
Last updated
09/19/2017
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