# BENCHMARK PHYSICAL THERAPY OF OREGON LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1306356159
- **Authorized official:** KEVIN JOHANNESON (VP REVENUE CYCLE)
- **Authorized official phone:** (423) 238-2313

## Contact information

- **Practice address:** 13939 NW CORNELL RD, PORTLAND, OR 97229-5404
- **Practice address phone:** (503) 254-3424
- **Practice address fax:** (503) 254-3635
- **Mailing address:** 6397 LEE HWY \# 300, CHATTANOOGA, TN 37421-2564
- **Mailing address phone:** (423) 238-7217

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | — | NULL | Yes |
| 225100000X | Physical Therapist | — | — | Yes |
| 225X00000X | Occupational Therapist | — | NULL | — |
| 225X00000X | Occupational Therapist | — | — | — |

## Other

- **Enumeration date:** 10/06/2017
- **Last updated:** 10/06/2017