# HUMA PHYSICAL THERAPY LLC

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

## Provider details

- **NPI number:** 1639940984
- **Authorized official:** JAMIE COWAN DPT (DOCTOR OF PHYSICAL THERAPY/CEO)
- **Authorized official phone:** (503) 208-6617

## Contact information

- **Practice address:** 1625 SE LAFAYETTE ST, PORTLAND, OR 97202-3862
- **Practice address phone:** (503) 208-6617
- **Practice address fax:** (503) 270-3629
- **Mailing address:** 7080 SE OGDEN ST, PORTLAND, OR 97206-7384
- **Mailing address phone:** (503) 208-6617

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | — | NULL | Yes |
| 225100000X | Physical Therapist | — | — | Yes |
| 261QP2000X | Physical Therapy Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 01/15/2024
- **Last updated:** 12/31/2024