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Organization
PRIME PERFORMANCE LLC
Active
Organization
PRIME PERFORMANCE LLC
Active
Other names
Prime Performance
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MATTHEW CHRISTOPHER MARINO PT, MSPT (OWNER)
(503) 308-1332
Entity
Organization
Contact information
Practice address
2035 NW FRONT AVE, PORTLAND, OR 97209-2177
(503) 308-1332
(503) 850-9021
Mailing address
2035 NW FRONT AVE, PORTLAND, OR 97209-2177
(503) 308-1332
(503) 850-9021
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
NULL
Other
Enumeration date
05/12/2023
Last updated
11/21/2024
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