Organization
MOXIE BODY P C
Active
Other names
Moxie Body Physical Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LISA ANDREA FRIEDMAN P.T. (PRESIDENT)
(503) 522-4132
Entity
Organization
Contact information
Practice address
407 NE 12TH AVE, SUITE 102, PORTLAND, OR 97232-2752
(503) 522-4132
(503) 239-6125
Mailing address
407 NE 12TH AVE, SUITE 102, PORTLAND, OR 97232-2752
(503) 522-4132
(503) 239-6125
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
3045
OR
Other
Enumeration date
09/22/2006
Last updated
08/22/2020
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