Organization
BASTIAN PHYSICAL THERAPY, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NEIL BASTIAN PT, LMT (PRESIDENT)
(503) 697-0542
Entity
Organization
Contact information
Practice address
870 5TH ST, LAKE OSWEGO, OR 97034-2312
(503) 697-0542
(503) 697-4895
Mailing address
870 5TH ST, LAKE OSWEGO, OR 97034-2312
(503) 697-0542
(503) 697-4895
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2021
OR
Other
Enumeration date
09/06/2007
Last updated
04/05/2011
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