# THE OREGON PHYSICAL THERAPY & SPORTS MEDICINE CENTER

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1700912235
- **Authorized official:** MR. MARC M MORISHIGE PHYSICAL THERAPIST (PHYSICAL THERAPIST)
- **Authorized official phone:** (503) 252-4100

## Contact information

- **Practice address:** 3620 NE 122ND AVE, SUITE C, PORTLAND, OR 97230
- **Practice address phone:** (503) 252-4100
- **Practice address fax:** (503) 252-3390
- **Mailing address:** 3620 NE 122ND AVE, SUITE C, PORTLAND, OR 97230
- **Mailing address phone:** (503) 252-4100
- **Mailing address fax:** (503) 252-3390

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | 1907 | OR | Yes |

## Other

- **Enumeration date:** 02/26/2007
- **Last updated:** 07/25/2008