# TITAN PHYSICAL THERAPY SERVICES, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Physical Therapy at the MAC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1902253008
- **Authorized official:** JAY BRENT JENSEN PT, ATC (OWNER)
- **Authorized official phone:** (503) 519-0011

## Contact information

- **Practice address:** 1849 SW SALMON ST, PORTLAND, OR 97205-1726
- **Practice address phone:** (503) 519-0011
- **Mailing address:** 16623 SW OYSTERCATCHER LN, BEAVERTON, OR 97007-8706
- **Mailing address phone:** (503) 519-0011
- **Mailing address fax:** (503) 590-3687

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QP2000X | Physical Therapy Clinic/Center | 06984 | OR | Yes |

## Other

- **Enumeration date:** 05/18/2016
- **Last updated:** 05/18/2016