Organization
ACTIVE EDGE PHYSICAL THERAPY & SPORTS MEDICINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAN MORLAN (PHYSICAL THERAPIST)
(503) 387-5449
Entity
Organization
Contact information
Practice address
2020 8TH AVE, SUITE D, WEST LINN, OR 97068-4657
(503) 387-5449
Mailing address
2020 8TH AVE, SUITE D, WEST LINN, OR 97068-4657
(503) 387-5449
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
61684
OR
Other
Enumeration date
06/10/2016
Last updated
06/10/2016
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