# CLACKAMAS PHYSICAL THERAPY ASSOCIATES, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Clackamas Physical Therapy Associates Inc
- **Organization subpart:** No

## Provider details

- **NPI number:** 1548443955
- **Authorized official:** MRS. CARLENE SUZANNE LEWIS (VICE PRESIDENT)
- **Authorized official phone:** (503) 698-5500

## Contact information

- **Practice address:** 11203 SE SUNNYSIDE RD, CLACKAMAS, OR 97015-7787
- **Practice address phone:** (503) 698-5500
- **Practice address fax:** (503) 698-5501
- **Mailing address:** 11203 SE SUNNYSIDE RD, CLACKAMAS, OR 97015-7787
- **Mailing address phone:** (503) 698-5500
- **Mailing address fax:** (503) 698-5501

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 174400000X | Specialist | 1870 | OR | — |
| 261Q00000X | Clinic/Center | 1870 | OR | — |
| 261QP2000X | Physical Therapy Clinic/Center | 1870 | OR | Yes |

## Other

- **Enumeration date:** 12/07/2007
- **Last updated:** 05/18/2012