# ST. JOHNS PHYSICAL THERAPY

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1144865841
- **Authorized official:** PAUL COOLEY DPT (OWNER AND LEAD CLINICIAN)
- **Authorized official phone:** (360) 770-4215

## Contact information

- **Practice address:** 8835 N BRADFORD ST, PORTLAND, OR 97203-2869
- **Practice address phone:** (360) 770-4215
- **Mailing address:** 8835 N BRADFORD ST, PORTLAND, OR 97203-2869
- **Mailing address phone:** (360) 770-4215

## Taxonomy

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

## Other

- **Enumeration date:** 11/18/2019
- **Last updated:** 11/18/2019