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Organization

STRATOS GROUP LLC

Active
Other names
Evolve Physical Therapy
Organization subpart
No

Provider details

NPI number
Authorized official
MATTHEW WHITAKER MPT (OWNER)
(541) 550-7291
Entity
Organization

Contact information

Practice address
20510 SW ROY ROGERS RD STE 120, SHERWOOD, OR 97140-9320
(541) 550-7291
(541) 550-7356
Mailing address
20510 SW ROY ROGERS RD STE 120, SHERWOOD, OR 97140-9320
(541) 550-7291
(541) 550-7356

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
61612
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
61612
PT LICENSE
OR
Enumeration date
05/20/2013
Last updated
07/21/2022
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