Organization
THERAPY CENTERS OF THE SOUTHWEST I, PA, PC
Active
Other names
Concentra Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM TOM FOGARTY MD (PRESIDENT)
(972) 364-8000
Entity
Organization
Contact information
Practice address
1200 NE 48TH AVE, HILLSBORO, OR 97124-4904
(503) 726-1021
(503) 726-1039
Mailing address
5080 SPECTRUM DRIVE, SUITE 1200 WEST, ADDISON, TX 75001-4624
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
—
—
261QH0100X
Health Service Clinic/Center
Primary
—
—
Other
Enumeration date
02/23/2011
Last updated
02/25/2011
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