Organization
ST. JOHNS PHYSICAL THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAUL COOLEY DPT (OWNER AND LEAD CLINICIAN)
(360) 770-4215
Entity
Organization
Contact information
Practice address
8835 N BRADFORD ST, PORTLAND, OR 97203-2869
(360) 770-4215
Mailing address
8835 N BRADFORD ST, PORTLAND, OR 97203-2869
(360) 770-4215
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
11/18/2019
Last updated
11/18/2019
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