# KJB CONSULTING CORPORATION

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Whole Body Health Physical Therapy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1497172373
- **Authorized official:** BRYAN LANG DPT (CEO)
- **Authorized official phone:** (503) 223-1856

## Contact information

- **Practice address:** 2525 NW LOVEJOY ST STE 202, PORTLAND, OR 97210-2863
- **Practice address phone:** (503) 223-1856
- **Practice address fax:** (503) 223-1765
- **Mailing address:** 2525 NW LOVEJOY ST STE 202, PORTLAND, OR 97210-2863
- **Mailing address phone:** (503) 223-1856

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QP2000X | Physical Therapy Clinic/Center | 05662 | OR | — |
| 261QP2000X | Physical Therapy Clinic/Center | 06391 | OR | — |
| 261QP2000X | Physical Therapy Clinic/Center | 60214 | OR | Yes |
| 261QP2000X | Physical Therapy Clinic/Center | 60504 | OR | — |
| 261QP2000X | Physical Therapy Clinic/Center | 61700 | OR | — |

## Other

- **Enumeration date:** 03/27/2014
- **Last updated:** 07/21/2022