Organization
CHEHALEM PHYSICAL THERAPY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHLEEN ELIZABETH SEVEREID DPT (OWNER / CFO)
(503) 538-8952
Entity
Organization
Contact information
Practice address
118 N EVEREST ST, NEWBERG, OR 97132-2102
(503) 538-8952
(503) 537-2027
Mailing address
118 N EVEREST ST, NEWBERG, OR 97132-2102
(503) 538-8952
(503) 537-2027
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
261QP2000X
Physical Therapy Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
004583000
BLUE CROSS
OR
Enumeration date
02/22/2006
Last updated
04/13/2023
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