Organization
BODY LISTENER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GRANT M HEADLEY DPT (OWNER)
(503) 568-1136
Entity
Organization
Contact information
Practice address
460 2ND ST, LAKE OSWEGO, OR 97034-3257
(503) 568-1136
(503) 213-9729
Mailing address
PO BOX 991, LAKE OSWEGO, OR 97034-0110
(503) 568-1136
(503) 213-9729
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
02/24/2021
Last updated
04/01/2021
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