Organization
OREGON NEUROSPORT PHYSICAL THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL HOWARD BAUM BS, CFMT (PHYSICAL THERAPIST)
(541) 998-9988
Entity
Organization
Contact information
Practice address
680 IVY ST, JUNCTION CITY, OR 97448-1636
(541) 998-9988
(541) 998-9987
Mailing address
PO BOX 275, JUNCTION CITY, OR 97448-0275
(541) 998-9988
(541) 998-9987
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
2251N0400X
Neurology Physical Therapist
—
—
2251S0007X
Sports Physical Therapist
—
—
Other
Enumeration date
01/23/2007
Last updated
09/19/2017
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