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Organization
CLACKAMAS PHYSICAL THERAPY ASSOCIATES, INC.
Active
Organization
CLACKAMAS PHYSICAL THERAPY ASSOCIATES, INC.
Active
Other names
Clackamas Physical Therapy Associates Inc
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CARLENE SUZANNE LEWIS (VICE PRESIDENT)
(503) 698-5500
Entity
Organization
Contact information
Practice address
11203 SE SUNNYSIDE RD, CLACKAMAS, OR 97015-7787
(503) 698-5500
(503) 698-5501
Mailing address
11203 SE SUNNYSIDE RD, CLACKAMAS, OR 97015-7787
(503) 698-5500
(503) 698-5501
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
1870
OR
261Q00000X
Clinic/Center
1870
OR
261QP2000X
Physical Therapy Clinic/Center
Primary
1870
OR
Other
Enumeration date
12/07/2007
Last updated
05/18/2012
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