# BOONES LANDING PHYSICAL THERAPY LLC

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

## Provider details

- **NPI number:** 1922503044
- **Authorized official:** JASON JAMES (PHYSICAL THERAPIST)
- **Authorized official phone:** (503) 707-5996

## Contact information

- **Practice address:** 29174 SW TOWN CENTER LOOP W STE 202B, WILSONVILLE, OR 97070
- **Practice address phone:** (503) 707-5996
- **Mailing address:** 29871 SW CAMELOT ST, WILSONVILLE, OR 97070-7565
- **Mailing address phone:** (503) 707-5979

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QP2000X | Physical Therapy Clinic/Center | 60235 | OR | Yes |

## Other

- **Enumeration date:** 03/29/2018
- **Last updated:** 08/02/2018