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Organization
STARGAIT PORTLAND PHYSICAL THERAPY, LLC
Active
Organization
STARGAIT PORTLAND PHYSICAL THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANGELA ZIELINSKI PT, DPT (COO)
(971) 219-4899
Entity
Organization
Contact information
Practice address
8354 SW NIMBUS AVE, BEAVERTON, OR 97008-6444
(971) 219-4899
(855) 840-8203
Mailing address
5054 SE INA AVE, PORTLAND, OR 97267-5927
(971) 219-4899
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
—
NULL
2251P0200X
Pediatric Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500689137
—
OR
05
—
50077834
—
OR
Enumeration date
12/18/2020
Last updated
12/23/2020
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