# MYOSKELETAL REHAB. LLC

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

## Provider details

- **NPI number:** 1396099776
- **Authorized official:** MR. WALTER ERNEST SCHMECK II LMT (MASSAGE THERAPIST)
- **Authorized official phone:** (503) 476-6225

## Contact information

- **Practice address:** 1020 SW TAYLOR ST STE 645, PORTLAND, OR 97205-2524
- **Practice address phone:** (503) 476-6225
- **Mailing address:** 676 SE 68TH AVE, HILLSBORO, OR 97123-3629
- **Mailing address phone:** (503) 476-6225

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QP2000X | Physical Therapy Clinic/Center | 17590 | OR | Yes |

## Other

- **Enumeration date:** 11/06/2012
- **Last updated:** 11/06/2012