# LIZ RUEGG PHYSICAL THERAPY LLC

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

## Provider details

- **NPI number:** 1871101634
- **Authorized official:** ELIZABETH RUEGG DPT (OWNER/PHYSICAL THERAPIST)
- **Authorized official phone:** (714) 504-1143

## Contact information

- **Practice address:** 2903 SE BROOKLYN ST, PORTLAND, OR 97202-2026
- **Practice address phone:** (714) 504-1143
- **Mailing address:** 2903 SE BROOKLYN ST, PORTLAND, OR 97202-2026
- **Mailing address phone:** (714) 504-1143

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | — | NULL | Yes |
| 225100000X | Physical Therapist | — | — | Yes |

## Other

- **Enumeration date:** 07/17/2020
- **Last updated:** 07/17/2020