# YUZU PHYSICAL THERAPY AND WELLNESS, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1558111476
- **Authorized official:** CHIE TADAKI DPT (PHYSICAL THERAPIST/OWNER)
- **Authorized official phone:** (971) 303-5794

## Contact information

- **Practice address:** 436 SE 12TH AVE, PORTLAND, OR 97214-1323
- **Practice address phone:** (503) 305-3088
- **Mailing address:** 2320 NE DAVIS ST, PORTLAND, OR 97232-3127
- **Mailing address phone:** (971) 303-5794

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QP2000X | Physical Therapy Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 03/25/2024
- **Last updated:** 03/25/2024