Organization
REID AND YATES PHYSICAL THERAPY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROCKWOOD ILES REID PT (CO-OWNER)
(503) 288-2615
Entity
Organization
Contact information
Practice address
1825 N WILLIAMS AVE, PORTLAND, OR 97227-1864
(503) 288-2615
(503) 288-0339
Mailing address
1825 N WILLIAMS AVE, PORTLAND, OR 97227-1864
(503) 288-2615
(503) 288-0339
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
066183
—
OR
Enumeration date
07/01/2006
Last updated
08/22/2020
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