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Organization
SHINE INTEGRATIVE PHYSICAL THERAPY LLC
Active
Organization
SHINE INTEGRATIVE PHYSICAL THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS EMILY KATHARINE SOINEY PT (OWNER)
(503) 901-5361
Entity
Organization
Contact information
Practice address
11735 NW HOLLY SPRINGS LN UNIT 105, PORTLAND, OR 97229-6484
(503) 715-7237
(503) 715-0496
Mailing address
11735 NW HOLLY SPRINGS LN UNIT 105, PORTLAND, OR 97229-6484
(503) 715-7237
(503) 715-0496
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
58516098
OR
Other
Enumeration date
06/19/2009
Last updated
06/19/2009
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