Organization
PACIFIC NEURO THERAPY
Active
Other names
Apex Performance Wellness & Rehab
Organization subpart
No
Provider details
NPI number
Authorized official
KELLEN MASTRUD (CO-OWNER & PRESIDENT)
(971) 294-2669
Entity
Organization
Contact information
Practice address
11105 SW GREENBURG RD, TIGARD, OR 97223-5446
(971) 294-2669
(503) 746-6609
Mailing address
11105 SW GREENBURG RD, TIGARD, OR 97223-5446
(971) 294-2669
(503) 746-6609
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
261QP2000X
Physical Therapy Clinic/Center
—
—
Other
Enumeration date
05/23/2016
Last updated
10/03/2022
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