Organization
360 DEGREE SPORTS MEDICINE & SPINE THERAPY LLC
Active
Other names
360 Degree Sports Medicine & Spine Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE COFFMAN P.T. (CEO)
(503) 248-0360
Entity
Organization
Contact information
Practice address
1215 SE 8TH AVE., SUITE D, PORTLAND, OR 97214
(503) 248-0360
(503) 334-3675
Mailing address
1215 SE 8TH AVE., SUITE D, PORTLAND, OR 97214
(503) 248-0360
(503) 334-3675
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
—
—
261QP2000X
Physical Therapy Clinic/Center
3018
OR
Other
Enumeration date
07/18/2007
Last updated
10/31/2022
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