# BENCHMARK PHYSICAL THERAPY OF OREGON LLC

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

## Provider details

- **NPI number:** 1083064547
- **Authorized official:** KEVIN JOHANNESON (VP REVENUE CYCLE)
- **Authorized official phone:** (423) 238-8923

## Contact information

- **Practice address:** 4132 DEVONSHIRE CT NE, SALEM, OR 97305-1982
- **Practice address phone:** (503) 364-5313
- **Practice address fax:** (503) 364-5296
- **Mailing address:** 8823 PRODUCTION LN, OOLTEWAH, TN 37363-6511
- **Mailing address phone:** (423) 238-8923

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | — | NULL | Yes |
| 225100000X | Physical Therapist | — | — | Yes |
| 225700000X | Massage Therapist | — | NULL | — |
| 225700000X | Massage Therapist | — | — | — |
| 225X00000X | Occupational Therapist | — | NULL | — |
| 225X00000X | Occupational Therapist | — | — | — |

## Other

- **Enumeration date:** 06/15/2016
- **Last updated:** 06/15/2016