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Organization
NW SPINE MANAGEMENT REHABILITATION AND SPORTS CONDITIONING, INC
Active
Organization
NW SPINE MANAGEMENT REHABILITATION AND SPORTS CONDITIONING, INC
Active
Other names
Sports Injury Management
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ANNEDRIA M BECKHAM (DIRECTOR OF OPERATIONS)
(503) 227-8087
Entity
Organization
Contact information
Practice address
9755 SW BARNES RD, SUITE 510, PORTLAND, OR 97225-6651
(503) 227-8087
(503) 227-8175
Mailing address
9755 SW BARNES RD, SUITE 510, PORTLAND, OR 97225-6651
(503) 227-8087
(503) 227-8175
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
OR
Other
Enumeration date
02/08/2007
Last updated
08/22/2020
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