Organization
BODYWISE PHYSICAL THERAPY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MEGAN MARIE MOSELEY PT, LMT (PRESIDENT/OWNER)
(503) 701-4390
Entity
Organization
Contact information
Practice address
1030 NW 12TH AVE STE 1, PORTLAND, OR 97209-2838
(503) 701-4390
(503) 974-2612
Mailing address
1030 NW 12TH AVE STE 1, PORTLAND, OR 97209-2838
(503) 701-4390
(503) 974-2612
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
0829199-3
OR
Other
Enumeration date
05/18/2006
Last updated
12/13/2016
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