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Organization
NEW PROACTIVE LLC
Active
Organization
NEW PROACTIVE LLC
Active
Other names
ProActive Physical Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTOPHER TUTT PT (OWNER)
(503) 381-1150
Entity
Organization
Contact information
Practice address
1630 BEAVERCREEK RD STE A, OREGON CITY, OR 97045-4156
(503) 607-0047
(503) 607-0051
Mailing address
1480 NE VILLAGE ST, FAIRVIEW, OR 97024-3827
(503) 489-1174
(503) 489-1650
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
NULL
225100000X
Physical Therapist
—
—
261QP2000X
Physical Therapy Clinic/Center
Primary
—
NULL
Other
Enumeration date
05/24/2017
Last updated
07/25/2017
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