# MINDFUL MOVEMENT REHABILITATION LLC

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

## Provider details

- **NPI number:** 1275159626
- **Authorized official:** JULIA STRANG DWYER PT, DPT (OWNER)
- **Authorized official phone:** (503) 544-3571

## Contact information

- **Practice address:** 850 SW TOUCHMARK WAY, PORTLAND, OR 97225-6328
- **Practice address phone:** (503) 544-3571
- **Mailing address:** PO BOX 82402, PORTLAND, OR 97282-0402
- **Mailing address phone:** (503) 207-6407
- **Mailing address fax:** (971) 250-8123

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | — | NULL | Yes |
| 225100000X | Physical Therapist | — | — | Yes |

## Other

- **Enumeration date:** 06/22/2020
- **Last updated:** 09/02/2020