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Organization
BENCHMARK PHYSICAL THERAPY OF OR, LLC
Active
Organization
BENCHMARK PHYSICAL THERAPY OF OR, LLC
Active
Other names
BenchMark PT - Wilsonville
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN JOHANNESON (VP REVENUE CYCLE)
(423) 238-3220
Entity
Organization
Contact information
Practice address
8642 SW MAIN ST STE 130, WILSONVILLE, OR 97070-6585
(503) 855-4909
(503) 855-3533
Mailing address
6397 LEE HWY STE 300, CHATTANOOGA, TN 37421-2564
(423) 238-7217
(423) 238-3473
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
09/22/2017
Last updated
09/22/2017
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