Organization
LIFESTYLES PHYSICAL THERAPY, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELLY STOTT CAMPBELL PT (PRESIDENT)
(503) 235-3386
Entity
Organization
Contact information
Practice address
4445 SW BARBUR BLVD., SUITE 204, PORTLAND, OR 97239
(503) 235-3386
(503) 239-1694
Mailing address
4445 SW BARBUR BLVD., SUITE 204, PORTLAND, OR 97239
(503) 235-3386
(503) 239-1694
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
1369712-7
OR
Other
Enumeration date
02/05/2009
Last updated
10/02/2014
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