# ENGSTROM PHYSICAL THERAPY AND PERFORMANCE TRAINING LLC

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

## Provider details

- **NPI number:** 1902491426
- **Authorized official:** DEVON ENGSTROM DPT (OWNER)
- **Authorized official phone:** (971) 275-3595

## Contact information

- **Practice address:** 52490 SE 2ND ST STE 120, SCAPPOOSE, OR 97056-3640
- **Practice address phone:** (971) 275-3595
- **Mailing address:** 52490 SE 2ND ST STE 120, SCAPPOOSE, OR 97056-3640

## Taxonomy

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

## Other

- **Enumeration date:** 03/05/2021
- **Last updated:** 03/05/2021