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Organization
BENCHMARK PHYSICAL THERAPY OF OREGON LLC
Active
Organization
BENCHMARK PHYSICAL THERAPY OF OREGON LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN JOHANNESON (VP REVENUE CYCLE)
(423) 238-8923
Entity
Organization
Contact information
Practice address
3512 EXCEL DR STE 105, MEDFORD, OR 97504-9850
(541) 245-0419
(541) 245-0426
Mailing address
8823 PRODUCTION LN, OOLTEWAH, TN 37363-6511
(423) 238-7217
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
NULL
225100000X
Physical Therapist
Primary
—
—
225X00000X
Occupational Therapist
—
NULL
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
NULL
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
03/17/2016
Last updated
03/17/2016
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