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Organization
INTEGRATE PHYSICAL THERAPY, BODYWORK AND WELLNESS
Active
Organization
INTEGRATE PHYSICAL THERAPY, BODYWORK AND WELLNESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELISABETH ESTACIO PT (OWNER)
(503) 702-2921
Entity
Organization
Contact information
Practice address
1975 NW 167TH PL STE 100, BEAVERTON, OR 97006-4908
(503) 702-2921
Mailing address
18170 NW PARK VIEW BLVD, PORTLAND, OR 97229-3338
(503) 702-2921
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
NULL
Other
Enumeration date
10/25/2019
Last updated
10/25/2019
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