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Organization
BEMOBILEPT, LLC
Active
Organization
BEMOBILEPT, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREW BALL DPT (OWNER/PHYSICAL THERAPIST)
(503) 704-6928
Entity
Organization
Contact information
Practice address
6056 NE WILLOW ST, PORTLAND, OR 97213-4370
(503) 704-6928
Mailing address
6056 NE WILLOW ST, PORTLAND, OR 97213-4370
(503) 704-6928
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
61057
OR
Other
Enumeration date
12/08/2017
Last updated
12/08/2017
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