Organization
CH PHYSICAL THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
COLIN HOOBLER (PT)
(971) 244-6000
Entity
Organization
Contact information
Practice address
914 NW 13TH AVE, PORTLAND, OR 97209-3039
(971) 244-9000
Mailing address
PO BOX 42510, PORTLAND, OR 97242-0510
(503) 963-1294
(503) 230-1541
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
840342000
BLUE CROSS
—
Enumeration date
07/04/2006
Last updated
06/23/2008
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