Organization
EVERGREEN PELVIC HEALTH AND WELLNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EMILY CALDWELL DPT (OWNER)
(303) 870-6611
Entity
Organization
Contact information
Practice address
1001 SE WATER AVE STE 247, PORTLAND, OR 97214-2148
(503) 270-3086
(971) 351-6651
Mailing address
3439 SE HAWTHORNE BLVD # 1025, PORTLAND, OR 97214-5048
(503) 270-3086
(971) 351-6651
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
—
251E00000X
Home Health Agency
—
—
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
04/16/2024
Last updated
07/04/2024
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