# OREGON SPORTSCARE LLC

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

## Provider details

- **NPI number:** 1851864292
- **Authorized official:** KYLE LARKIN (OWNER)
- **Authorized official phone:** (503) 528-6864

## Contact information

- **Practice address:** 5520 NW HIGHWAY 99, CORVALLIS, OR 97330-9484
- **Practice address phone:** (541) 207-3626
- **Mailing address:** 3201 NW SHOOTING STAR DR, CORVALLIS, OR 97330-3465
- **Mailing address phone:** (503) 528-6864

## Taxonomy

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

## Other

- **Enumeration date:** 01/08/2019
- **Last updated:** 01/08/2019