# QUANTUM THERAPY PC

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

## Provider details

- **NPI number:** 1134316268
- **Authorized official:** JULIE MERKL PT (OWNER)
- **Authorized official phone:** (503) 602-9197

## Contact information

- **Practice address:** 4465 SW 109TH AVE, SUITE D, BEAVERTON, OR 97005-3024
- **Practice address phone:** (503) 602-9197
- **Mailing address:** 19045 SW MADELINE ST, BEAVERTON, OR 97007-3004
- **Mailing address phone:** (503) 602-9197

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QP2000X | Physical Therapy Clinic/Center | 5984 | OR | Yes |

## Other

- **Enumeration date:** 10/03/2007
- **Last updated:** 08/31/2009