# CHEHALEM PHYSICAL THERAPY, INC.

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

## Provider details

- **NPI number:** 1164497111
- **Authorized official:** KATHLEEN ELIZABETH SEVEREID DPT (OWNER / CFO)
- **Authorized official phone:** (503) 538-8952

## Contact information

- **Practice address:** 118 N EVEREST ST, NEWBERG, OR 97132-2102
- **Practice address phone:** (503) 538-8952
- **Practice address fax:** (503) 537-2027
- **Mailing address:** 118 N EVEREST ST, NEWBERG, OR 97132-2102
- **Mailing address phone:** (503) 538-8952
- **Mailing address fax:** (503) 537-2027

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | NULL | Yes |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | — | Yes |
| 261QP2000X | Physical Therapy Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 02/22/2006
- **Last updated:** 04/13/2023