# FUERZA PHYSICAL THERAPY, LLC

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

## Provider details

- **NPI number:** 1306394846
- **Authorized official:** NATALIE SAN ANDRES PT, DPT (PHYSICAL THERAPIST AND OWNER)
- **Authorized official phone:** (305) 979-9836

## Contact information

- **Practice address:** 1720 SE HAIG ST, PORTLAND, OR 97202-2852
- **Practice address phone:** (305) 979-9836
- **Mailing address:** 6315 SE 23RD AVE, PORTLAND, OR 97202-5449
- **Mailing address phone:** (305) 979-9836

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QP2000X | Physical Therapy Clinic/Center | 60426 | OR | Yes |

## Other

- **Enumeration date:** 09/13/2016
- **Last updated:** 10/20/2016
