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Organization

BAARSPUL PHYSICAL THERAPY AND SPORTS MEDICINE, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
BEN BAARSPUL D.P.T (PHYSICAL THERAPIST/OWNER)
(503) 704-2150
Entity
Organization

Contact information

Practice address
7616 SW MOHAWK ST, TUALATIN, OR 97062-8121
(503) 704-2150
Mailing address
7225 SW SHADY CT, PORTLAND, OR 97223-9146

Taxonomy

Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
05223
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
006013
OR
Enumeration date
04/28/2015
Last updated
04/28/2015
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