# SOAR CONCIERGE PHYSICAL THERAPY

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

## Provider details

- **NPI number:** 1891432860
- **Authorized official:** DR. SEAN DOUGLAS DEGN DPT (PHYSICAL THERAPIST)
- **Authorized official phone:** (503) 341-0382

## Contact information

- **Practice address:** 3589 FAIRVIEW INDUSTRIAL DR SE STE 100, SALEM, OR 97302-1155
- **Practice address phone:** (503) 341-0382
- **Mailing address:** 3589 FAIRVIEW INDUSTRIAL DR SE STE 100, SALEM, OR 97302-1155

## Taxonomy

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

## Other

- **Enumeration date:** 05/19/2022
- **Last updated:** 06/21/2022