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Organization
CORVALLIS SPORT AND SPINE PHYSICAL THERAPY INC
Active
Organization
CORVALLIS SPORT AND SPINE PHYSICAL THERAPY INC
Active
Other names
Corvallis Sport and Spine PT
Organization subpart
No
Provider details
NPI number
Authorized official
KARLA A MOORE (PRACTICE ADMINISTRATOR)
(541) 753-4246
Entity
Organization
Contact information
Practice address
2635 NW ROLLING GREEN DR, CORVALLIS, OR 97330-3519
(541) 753-4246
(541) 757-0545
Mailing address
2635 NW ROLLING GREEN DR, CORVALLIS, OR 97330-3519
(541) 753-4246
(541) 757-0545
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
831588000
BCBS
—
Enumeration date
10/11/2006
Last updated
01/28/2026
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