Organization
BENCHMARK PHYSICAL THERAPY OF OREGON LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN JOHANNESON (VP REVENUE CYCLE)
(423) 238-8923
Entity
Organization
Contact information
Practice address
6250 COMMERCIAL ST SE, SALEM, OR 97306-1333
(503) 485-1666
(503) 581-6867
Mailing address
8823 PRODUCTION LN, OOLTEWAH, TN 37363-6511
(423) 238-7217
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
225700000X
Massage Therapist
—
—
225X00000X
Occupational Therapist
—
—
Other
Enumeration date
06/15/2016
Last updated
06/15/2016
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