# OREGON MEDICAL GROUP AT THURSTON PHYSICAL THERAPY

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

## Provider details

- **NPI number:** 1306813795
- **Authorized official:** MR. BRADLEY VERNON SCHWIN (DIRECTOR)
- **Authorized official phone:** (541) 242-4178

## Contact information

- **Practice address:** 5781 MAIN ST, SPRINGFIELD, OR 97478-5426
- **Practice address phone:** (541) 284-1694
- **Practice address fax:** (541) 242-4760
- **Mailing address:** 5781 MAIN ST, SPRINGFIELD, OR 97478

## Taxonomy

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

## Other

- **Enumeration date:** 03/03/2006
- **Last updated:** 08/22/2020