# THRIVE PHYSICAL THERAPY AND NUTRITION

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

## Provider details

- **NPI number:** 1790486918
- **Authorized official:** DR. ELSA JONES DPT, CLT-LANA, NTP (OWNER)
- **Authorized official phone:** (715) 209-1751

## Contact information

- **Practice address:** 1836 NE 7TH AVE STE 205, PORTLAND, OR 97212-3998
- **Practice address phone:** (503) 206-6218
- **Practice address fax:** (888) 972-1720
- **Mailing address:** 1836 NE 7TH AVE STE 205, PORTLAND, OR 97212-3998
- **Mailing address phone:** (503) 206-6218
- **Mailing address fax:** (888) 972-1720

## Taxonomy

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

## Other

- **Enumeration date:** 03/14/2023
- **Last updated:** 03/14/2023
