Organization
KOFOED ENTEPRISES PC
Active
Other names
Portland Performing Arts Injuries Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MS. GRETE A KOFOED PT (PHYSICAL THERAPIST)
(503) 224-2222
Entity
Organization
Contact information
Practice address
1020 SW TAYLOR STREET SUITE 665, PORTLAND, OR 97205-2529
(503) 224-2222
Mailing address
1020 SW TAYLOR STREET SUITE 665, PORTLAND, OR 97205-2529
(503) 224-2222
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
1662
OR
Other
Enumeration date
05/15/2008
Last updated
05/19/2008
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