# RESILIENT RUNNER HEALTH AND WELLNESS LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Oregon Running Clinic
- **Organization subpart:** No

## Provider details

- **NPI number:** 1639909047
- **Authorized official:** JENNIFER DAVIS PT, DPT, OCS (OWNER)
- **Authorized official phone:** (503) 482-7234

## Contact information

- **Practice address:** 1260 SE LAMBERT ST STE 101, PORTLAND, OR 97202-6386
- **Practice address phone:** (503) 482-7234
- **Practice address fax:** (503) 482-7232
- **Mailing address:** 333 S STATE ST STE V337, LAKE OSWEGO, OR 97034-3932
- **Mailing address phone:** (503) 482-7234
- **Mailing address fax:** (503) 482-7232

## Taxonomy

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

## Other

- **Enumeration date:** 08/02/2024
- **Last updated:** 08/02/2024