# MIND BODY THERAPY

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

## Provider details

- **NPI number:** 1851764906
- **Authorized official:** RAJESH KHEMRAJ PT (OWNER)
- **Authorized official phone:** (503) 560-4672

## Contact information

- **Practice address:** 11959 SW GARDEN PL, PORTLAND, OR 97223-8249
- **Practice address phone:** (503) 620-0781
- **Practice address fax:** (503) 427-9553
- **Mailing address:** 11959 SW GARDEN PL, PORTLAND, OR 97223-8249
- **Mailing address phone:** (503) 620-0781
- **Mailing address fax:** (503) 427-9553

## Taxonomy

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

## Other

- **Enumeration date:** 11/10/2015
- **Last updated:** 12/15/2020