# BEATA MORENO, PT PC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Beata Moreno, PT PC, Holistic Physical Therapy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1831128651
- **Authorized official:** BEATA MORENO P.T. (PRESIDENT)
- **Authorized official phone:** (503) 246-8282

## Contact information

- **Practice address:** 4031 SE HAWTHORNE BLVD, PORTLAND, OR 97214-5243
- **Practice address phone:** (503) 246-8282
- **Practice address fax:** (503) 231-6605
- **Mailing address:** 4031 SE HAWTHORNE BLVD, PORTLAND, OR 97214-5243
- **Mailing address phone:** (503) 246-8282
- **Mailing address fax:** (503) 231-6605

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | 3976 | OR | Yes |

## Other

- **Enumeration date:** 07/02/2006
- **Last updated:** 03/26/2013