Organization
BENCHMARK PHYSICAL THERAPY OF OREGON LLC
Active
Other names
Benchmark PT - Lincoln City
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN JOHANNESON (VP REVENUE CYCLE)
(423) 238-7217
Entity
Organization
Contact information
Practice address
3007 NE WEST DEVILS LAKE RD, LINCOLN CITY, OR 97367-5131
(541) 994-6252
Mailing address
6397 LEE HWY STE 300, CHATTANOOGA, TN 37421-2564
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
12/28/2017
Last updated
05/07/2018
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