# WEST PORTLAND PHYSICAL THERAPY CLINIC LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** West Portland Physical Therapy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1134175706
- **Authorized official:** SCOTT OSBURNE (GENERAL MANAGER)
- **Authorized official phone:** (503) 227-7774

## Contact information

- **Practice address:** 1630 SW MORRISON ST, SUITE 100, PORTLAND, OR 97205-1916
- **Practice address phone:** (503) 227-7774
- **Practice address fax:** (503) 227-7548
- **Mailing address:** 1630 SW MORRISON ST, SUITE 100, PORTLAND, OR 97205-1916
- **Mailing address phone:** (503) 227-7774
- **Mailing address fax:** (503) 227-7548

## Taxonomy

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

## Other

- **Enumeration date:** 05/25/2006
- **Last updated:** 04/18/2013
