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Organization
ORTHOPEDIC & TMJ PHYSICAL THERAPY CENTER
Active
Organization
ORTHOPEDIC & TMJ PHYSICAL THERAPY CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CAROL R CONRADES RT PHYSICAL THERAPIS (OWNER PHYSICAL THERAPIST)
(503) 777-6746
Entity
Organization
Contact information
Practice address
9204 SE MITCHELL ST, PORTLAND, OR 97266
(503) 777-6746
(503) 777-0023
Mailing address
9204 SE MITCHELL ST, PORTLAND, OR 97266
(503) 777-6746
(503) 777-0023
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
NULL
Other
Enumeration date
06/26/2007
Last updated
06/19/2008
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