# ROCKWOOD ORTHOPAEDIC & SPORTS PHYSICAL THERAPY CLINIC, PC

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

## Provider details

- **NPI number:** 1902249022
- **Authorized official:** JOHN PATRICK BONICA PT (OWNER)
- **Authorized official phone:** (503) 254-2652

## Contact information

- **Practice address:** 3800 SW CEDAR HILLS BLVD, SUITE 280A, BEAVERTON, OR 97005-2035
- **Practice address phone:** (503) 254-2652
- **Practice address fax:** (503) 254-2814
- **Mailing address:** 3800 SW CEDAR HILLS BLVD, SUITE 280A, BEAVERTON, OR 97005-2035
- **Mailing address phone:** (503) 254-2652
- **Mailing address fax:** (503) 254-2814

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QP2000X | Physical Therapy Clinic/Center | 1053 | OR | Yes |

## Other

- **Enumeration date:** 04/08/2013
- **Last updated:** 01/13/2016