Organization
SOUTHEAST PHYSICAL THERAPY, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL J FEELY R.P.T. (OWNER)
(503) 234-4858
Entity
Organization
Contact information
Practice address
2725 SE STEELE ST, PORTLAND, OR 97202-4617
(503) 234-4858
(503) 234-3227
Mailing address
2725 SE STEELE ST, PORTLAND, OR 97202-4617
(503) 234-4858
(503) 234-3227
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
1191
OR
261QP2000X
Physical Therapy Clinic/Center
PT00002913
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
156257
—
OR
Enumeration date
10/31/2005
Last updated
10/17/2007
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