# STABLE BODY PHYSICAL THERAPY

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

## Provider details

- **NPI number:** 1558143735
- **Authorized official:** DR. MICHELLE KATHRYN CORREIA-JEFFERS DPT, CERP (OWNER/OPERATOR)
- **Authorized official phone:** (530) 638-5848

## Contact information

- **Practice address:** 17323 SW JAY ST APT 302, BEAVERTON, OR 97003-7628
- **Practice address phone:** (530) 638-5848
- **Mailing address:** 16055 SW WALKER RD STE 188, BEAVERTON, OR 97006-4942
- **Mailing address phone:** (530) 638-5848

## Taxonomy

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

## Other

- **Enumeration date:** 10/20/2023
- **Last updated:** 10/20/2023