Organization
PRIME PERFORMANCE LLC
Active
Other names
Prime Performance
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MATTHEW CHRISTOPHER MARINO PT, MSPT (OWNER)
(503) 308-1332
Entity
Organization
Contact information
Practice address
2035 NW FRONT AVE, PORTLAND, OR 97209-2177
(503) 308-1332
(503) 850-9021
Mailing address
2035 NW FRONT AVE, PORTLAND, OR 97209-2177
(503) 308-1332
(503) 850-9021
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
05/12/2023
Last updated
11/21/2024
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