# TIGARD PHYSICAL THERAPY INC

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

## Provider details

- **NPI number:** 1669449153
- **Authorized official:** LYNNE R MARSHALL-BROOK (PRESIDENT)
- **Authorized official phone:** (503) 753-1537

## Contact information

- **Practice address:** 12700 SW PACIFIC HWY, PORTLAND, OR 97223-6136
- **Practice address phone:** (503) 753-1537
- **Practice address fax:** (503) 573-8004
- **Mailing address:** PO BOX 3728, TUALATIN, OR 97062-3728
- **Mailing address phone:** (503) 753-1537
- **Mailing address fax:** (503) 573-8004

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | 2600 | OR | Yes |
| 225200000X | Physical Therapy Assistant | 7585 | OR | — |
| 261QP2000X | Physical Therapy Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 03/02/2006
- **Last updated:** 09/15/2025