Organization
NW SPINE MANAGEMENT REHABILITATION AND SPORTS CONDITIONING, INC
Active
Other names
Sports Injury Management
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ANNEDRIA M BECKHAM (DIRECTOR OF OPERATIONS)
(503) 227-8087
Entity
Organization
Contact information
Practice address
9755 SW BARNES RD, SUITE 510, PORTLAND, OR 97225-6651
(503) 227-8087
(503) 227-8175
Mailing address
9755 SW BARNES RD, SUITE 510, PORTLAND, OR 97225-6651
(503) 227-8087
(503) 227-8175
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
OR
Other
Enumeration date
02/08/2007
Last updated
08/22/2020
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