Organization
CONNECT PHYSICAL THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DIANE O. SHIFFER (OWNER)
(503) 974-9078
Entity
Organization
Contact information
Practice address
12540 SW 68TH AVE, TIGARD, OR 97223-8597
(503) 974-9078
(503) 974-9083
Mailing address
12540 SW 68TH AVE, TIGARD, OR 97223-8597
(503) 974-9078
(503) 974-9083
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
1330
OR
Other
Enumeration date
12/02/2011
Last updated
05/30/2023
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