Organization
MITCHELL PHYSICAL THERAPY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STEPHEN MITCHELL (OWNER)
(503) 777-1983
Entity
Organization
Contact information
Practice address
5212 SE 52ND AVE, PORTLAND, OR 97206-5629
(503) 777-1983
Mailing address
5212 SE 52ND AVE, PORTLAND, OR 97206-5629
(503) 777-1983
(503) 771-1984
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1766
OR
Other
Enumeration date
02/19/2007
Last updated
07/07/2020
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