# NEIGHBORHOOD PHYSICAL THERAPY

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

## Provider details

- **NPI number:** 1194300566
- **Authorized official:** ORION KOOISTRA DPT (OWNER)
- **Authorized official phone:** (503) 334-9799

## Contact information

- **Practice address:** 3942 NE 11TH AVE, PORTLAND, OR 97212-1236
- **Practice address phone:** (503) 334-9799
- **Mailing address:** 3942 NE 11TH AVE, PORTLAND, OR 97212-1236
- **Mailing address phone:** (503) 334-9799

## Taxonomy

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

## Other

- **Enumeration date:** 03/16/2021
- **Last updated:** 03/16/2021