Organization
SHINE INTEGRATIVE PHYSICAL THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS EMILY KATHARINE SOINEY PT (OWNER)
(503) 901-5361
Entity
Organization
Contact information
Practice address
11735 NW HOLLY SPRINGS LN UNIT 105, PORTLAND, OR 97229-6484
(503) 715-7237
(503) 715-0496
Mailing address
11735 NW HOLLY SPRINGS LN UNIT 105, PORTLAND, OR 97229-6484
(503) 715-7237
(503) 715-0496
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
58516098
OR
Other
Enumeration date
06/19/2009
Last updated
06/19/2009
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