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Organization
PROACTIVE ORTHOPEDIC AND SPORTS PHYSICAL THERAPY OF OREGON CITY LLC
Active
Organization
PROACTIVE ORTHOPEDIC AND SPORTS PHYSICAL THERAPY OF OREGON CITY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LARRY DEAN KRAUT (MANAGING MEMBER)
(503) 740-8847
Entity
Organization
Contact information
Practice address
1001 MOLALLA AVE, SUITE 205, OREGON CITY, OR 97045
(503) 607-0047
(503) 607-0051
Mailing address
PO BOX 52194, DEPT CODE 962, PHOENIX, AZ 85072-2194
(503) 489-1781
(503) 489-1650
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
4484
OR
Other
Enumeration date
03/31/2006
Last updated
07/25/2008
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