Organization
NEIGHBORHOOD PHYSICAL THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ORION KOOISTRA DPT (OWNER)
(503) 334-9799
Entity
Organization
Contact information
Practice address
3942 NE 11TH AVE, PORTLAND, OR 97212-1236
(503) 334-9799
Mailing address
3942 NE 11TH AVE, PORTLAND, OR 97212-1236
(503) 334-9799
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
03/16/2021
Last updated
03/16/2021
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