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Organization
NW PHYSICAL THERAPY SPECIALISTS
Active
Organization
NW PHYSICAL THERAPY SPECIALISTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIMOTHY DOMINICK, DOMINICK PT (OWNER/MEMBER)
(503) 379-1525
Entity
Organization
Contact information
Practice address
7616 SW MOHAWK ST, TUALATIN, OR 97062-8121
(503) 379-1525
(503) 575-7150
Mailing address
7616 SW MOHAWK ST, TUALATIN, OR 97062-8121
(503) 379-1525
(503) 575-7150
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
NULL
225100000X
Physical Therapist
Primary
—
—
2251S0007X
Sports Physical Therapist
—
NULL
2251S0007X
Sports Physical Therapist
—
—
2251X0800X
Orthopedic Physical Therapist
—
NULL
2251X0800X
Orthopedic Physical Therapist
—
—
Other
Enumeration date
04/09/2015
Last updated
07/09/2015
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