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Organization
ACTIVEEDGE TUALATIN, LLP
Active
Organization
ACTIVEEDGE TUALATIN, LLP
Active
Other names
ActiveEDGE Tualatin
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DANIEL C MORLAN PT (MANAGING MEMBER)
(503) 387-5449
Entity
Organization
Contact information
Practice address
19150 SW 90TH AVENUE, SUITE 200, WEST LINN, OR 97062
(503) 387-5449
(503) 387-5449
Mailing address
2090 TANNER CREEK LANE, WEST LINN, OR 97068
(503) 387-5449
(503) 342-6846
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
NULL
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
05/13/2019
Last updated
05/13/2019
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