Organization
KJB CONSULTING CORPORATION
Active
Other names
Whole Body Health Physical Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
BRYAN LANG DPT (CEO)
(503) 223-1856
Entity
Organization
Contact information
Practice address
2525 NW LOVEJOY ST STE 202, PORTLAND, OR 97210-2863
(503) 223-1856
(503) 223-1765
Mailing address
2525 NW LOVEJOY ST STE 202, PORTLAND, OR 97210-2863
(503) 223-1856
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
05662
OR
261QP2000X
Physical Therapy Clinic/Center
06391
OR
261QP2000X
Physical Therapy Clinic/Center
Primary
60214
OR
261QP2000X
Physical Therapy Clinic/Center
60504
OR
261QP2000X
Physical Therapy Clinic/Center
61700
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500675564
—
OR
Enumeration date
03/27/2014
Last updated
07/21/2022
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