Organization
SPORTSCARE INTEGRATIVE PHYSICAL THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TOMIKO JOY SALDIA PT (PART OWNER/OPERATOR)
(360) 402-1076
Entity
Organization
Contact information
Practice address
24076 SE STARK ST STE 200, GRESHAM, OR 97030-3376
(503) 491-1666
(503) 491-1667
Mailing address
24076 SE STARK ST STE 200, GRESHAM, OR 97030-3376
(503) 491-1666
(503) 491-1667
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500747250
—
OR
Enumeration date
01/23/2019
Last updated
01/23/2019
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