Organization
WESTSIDE PHYSICAL THERAPY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES JOSEPH CENOVA PT (PRESIDENT)
(503) 466-9800
Entity
Organization
Contact information
Practice address
16265 NW CORNELL RD, SUITE 100, BEAVERTON, OR 97006-4909
(503) 466-9800
(503) 466-9817
Mailing address
16265 NW CORNELL RD, SUITE 100, BEAVERTON, OR 97006-4909
(503) 466-9800
(503) 466-9817
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
261QR0400X
Rehabilitation Clinic/Center
—
—
Other
Enumeration date
02/28/2007
Last updated
03/16/2023
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