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Organization
MIND BODY THERAPY
Active
Organization
MIND BODY THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAJESH KHEMRAJ PT (OWNER)
(503) 560-4672
Entity
Organization
Contact information
Practice address
11959 SW GARDEN PL, PORTLAND, OR 97223-8249
(503) 620-0781
(503) 427-9553
Mailing address
11959 SW GARDEN PL, PORTLAND, OR 97223-8249
(503) 620-0781
(503) 427-9553
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
NULL
Other
Enumeration date
11/10/2015
Last updated
12/15/2020
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