# KOTILA PHYSICAL THERAPY, LLC

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

## Provider details

- **NPI number:** 1467573121
- **Authorized official:** PAMELA MARY KOTILA MS,PT (OWNER)
- **Authorized official phone:** (503) 681-2340

## Contact information

- **Practice address:** 527 SE 9TH AVE, HILLSBORO, OR 97123-4605
- **Practice address phone:** (503) 681-2340
- **Practice address fax:** (503) 693-7000
- **Mailing address:** 527 SE 9TH AVE, HILLSBORO, OR 97123-4605
- **Mailing address phone:** (503) 681-2340

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | 2802 | OR | Yes |

## Other

- **Enumeration date:** 04/02/2007
- **Last updated:** 08/22/2020
