Organization
BENCHMARK PHYSICAL THERAPY OF OREGON LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN JOHANNESON (VP REVENUE CYCLE)
(423) 238-2313
Entity
Organization
Contact information
Practice address
9828 E BURNSIDE ST STE 250, PORTLAND, OR 97216-2365
(503) 254-3424
(503) 254-3635
Mailing address
6397 LEE HWY # 300, CHATTANOOGA, TN 37421-2564
(423) 238-7217
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
225X00000X
Occupational Therapist
—
—
Other
Enumeration date
10/06/2017
Last updated
10/06/2017
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