# DEBORAH THRALL PT, LLC

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

## Provider details

- **NPI number:** 1881040731
- **Authorized official:** DEBORAH CARPENTER THRALL PT (SOLE PROPRIETOR)
- **Authorized official phone:** (503) 324-7842

## Contact information

- **Practice address:** 2077 NW TOWN CENTER DR, BEAVERTON, OR 97006-8938
- **Practice address phone:** (503) 324-7842
- **Practice address fax:** (503) 207-6185
- **Mailing address:** 24020 NW RIDGE RD, FOREST GROVE, OR 97116-9266
- **Mailing address phone:** (503) 324-7842
- **Mailing address fax:** (503) 207-6185

## Taxonomy

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

## Other

- **Enumeration date:** 05/10/2016
- **Last updated:** 05/17/2016