# BEMOBILEPT, LLC

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

## Provider details

- **NPI number:** 1326553652
- **Authorized official:** ANDREW BALL DPT (OWNER/PHYSICAL THERAPIST)
- **Authorized official phone:** (503) 704-6928

## Contact information

- **Practice address:** 6056 NE WILLOW ST, PORTLAND, OR 97213-4370
- **Practice address phone:** (503) 704-6928
- **Mailing address:** 6056 NE WILLOW ST, PORTLAND, OR 97213-4370
- **Mailing address phone:** (503) 704-6928

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QP2000X | Physical Therapy Clinic/Center | 61057 | OR | Yes |

## Other

- **Enumeration date:** 12/08/2017
- **Last updated:** 12/08/2017