Organization
PEDAL PT, LLC
Active
Other names
Pedal PT
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KEVIN SCHMIDT MSPT, CMP (PHYSICAL THERAPIST, OWNER)
(503) 453-4993
Entity
Organization
Contact information
Practice address
2622 SE 25TH AVE, SUITE B, PORTLAND, OR 97202-1217
(503) 453-4993
Mailing address
2719 SE 65TH AVE, PORTLAND, OR 97206-1201
(503) 453-4993
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
4465
OR
Other
Enumeration date
07/20/2012
Last updated
07/20/2012
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