# BAARSPUL PHYSICAL THERAPY AND SPORTS MEDICINE, LLC

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

## Provider details

- **NPI number:** 1417334434
- **Authorized official:** BEN BAARSPUL D.P.T (PHYSICAL THERAPIST/OWNER)
- **Authorized official phone:** (503) 704-2150

## Contact information

- **Practice address:** 7616 SW MOHAWK ST, TUALATIN, OR 97062-8121
- **Practice address phone:** (503) 704-2150
- **Mailing address:** 7225 SW SHADY CT, PORTLAND, OR 97223-9146

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QP2000X | Physical Therapy Clinic/Center | 05223 | OR | Yes |

## Other

- **Enumeration date:** 04/28/2015
- **Last updated:** 04/28/2015