Organization
ELITE PERFORMANCE PHYSICAL THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JESSIE ROBERTS DPT (OWNER)
(503) 708-6941
Entity
Organization
Contact information
Practice address
22695 S UPPER HIGHLAND RD, BEAVERCREEK, OR 97004-9732
(503) 708-6941
Mailing address
19146 S MOLALLA AVE STE A, OREGON CITY, OR 97045-7167
(503) 974-0048
(503) 974-0069
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
04620
OR
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
07/13/2015
Last updated
01/16/2024
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