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Organization
ROCKWOOD ORTHOPAEDIC & SPORTS PHYSICAL THERAPY CLINIC, PC
Active
Organization
ROCKWOOD ORTHOPAEDIC & SPORTS PHYSICAL THERAPY CLINIC, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN PATRICK BONICA PT (OWNER)
(503) 254-2652
Entity
Organization
Contact information
Practice address
3800 SW CEDAR HILLS BLVD, SUITE 280A, BEAVERTON, OR 97005-2035
(503) 254-2652
(503) 254-2814
Mailing address
3800 SW CEDAR HILLS BLVD, SUITE 280A, BEAVERTON, OR 97005-2035
(503) 254-2652
(503) 254-2814
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
1053
OR
Other
Enumeration date
04/08/2013
Last updated
01/13/2016
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