Organization
CASCADE 205 ORTHOPEDIC AND SPORTS PHYSICAL THERAPY, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JULIE MCALLISTER MSPT (OWNER/DIRECTOR/THERAPIST)
(503) 255-1500
Entity
Organization
Contact information
Practice address
9260 SE STARK ST, SUITE B, PORTLAND, OR 97216-1640
(503) 255-1500
(503) 255-1560
Mailing address
9260 SE STARK ST, SUITE B, PORTLAND, OR 97216-1640
(503) 255-1500
(503) 255-1560
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
2319
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
297214
—
OR
Enumeration date
07/07/2005
Last updated
10/02/2008
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