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Organization
BENCHMARK PHYSICAL THERAPY OF OREGON LLC
Active
Organization
BENCHMARK PHYSICAL THERAPY OF OREGON LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN JOHANNESON (VP REVENUE CYCLE)
(423) 238-2313
Entity
Organization
Contact information
Practice address
13939 NW CORNELL RD, PORTLAND, OR 97229-5404
(503) 254-3424
(503) 254-3635
Mailing address
6397 LEE HWY # 300, CHATTANOOGA, TN 37421-2564
(423) 238-7217
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
NULL
225100000X
Physical Therapist
Primary
—
—
225X00000X
Occupational Therapist
—
NULL
225X00000X
Occupational Therapist
—
—
Other
Enumeration date
10/06/2017
Last updated
10/06/2017
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