Organization
OREGON MOBILE REHAB LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMELLE KING PT, DPT (PHYSICAL THERAPIST)
(503) 891-4586
Entity
Organization
Contact information
Practice address
14445 SE MOUNTAIN RIDGE AVE, HAPPY VALLEY, OR 97086-4042
(503) 891-4586
Mailing address
14445 SE MOUNTAIN RIDGE AVE, HAPPY VALLEY, OR 97086-4042
(503) 891-4586
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
06378
OR
Other
Enumeration date
11/06/2013
Last updated
12/10/2013
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