# MOXIE BODY P C

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Moxie Body Physical Therapy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1578662979
- **Authorized official:** MS. LISA ANDREA FRIEDMAN P.T. (PRESIDENT)
- **Authorized official phone:** (503) 522-4132

## Contact information

- **Practice address:** 407 NE 12TH AVE, SUITE 102, PORTLAND, OR 97232-2752
- **Practice address phone:** (503) 522-4132
- **Practice address fax:** (503) 239-6125
- **Mailing address:** 407 NE 12TH AVE, SUITE 102, PORTLAND, OR 97232-2752
- **Mailing address phone:** (503) 522-4132
- **Mailing address fax:** (503) 239-6125

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QP2000X | Physical Therapy Clinic/Center | 3045 | OR | Yes |

## Other

- **Enumeration date:** 09/22/2006
- **Last updated:** 08/22/2020