# THE VINTAGE PHYSICAL THERAPY AND TRAINING

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

## Provider details

- **NPI number:** 1902440126
- **Authorized official:** MEGHAN HOOBLER (OFFICE MANAGER)
- **Authorized official phone:** (503) 467-6046

## Contact information

- **Practice address:** 1969 WILLAMETTE FALLS DR STE 100, WEST LINN, OR 97068-4660
- **Practice address phone:** (503) 467-6046
- **Practice address fax:** (503) 296-5510
- **Mailing address:** 26180 SW FRENCH OAK DR, WEST LINN, OR 97068-9756
- **Mailing address phone:** (503) 467-6046
- **Mailing address fax:** (503) 296-5510

## Taxonomy

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

## Other

- **Enumeration date:** 10/30/2019
- **Last updated:** 11/13/2019