Organization
PDX BODYWORKS PHYSICAL THERAPY
Active
Other names
Northwest Injury Care
Organization subpart
No
Provider details
NPI number
Authorized official
SHAWN P. COONEY PTA, BA (CO-OWNER)
(971) 678-7422
Entity
Organization
Contact information
Practice address
1818 NE MLK BLVD STE C, PORTLAND, OR 97212-3976
(503) 206-8988
(503) 206-6143
Mailing address
1818 NE MLK BLVD STE C, PORTLAND, OR 97212-3976
(971) 678-7422
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
—
—
261QP2000X
Physical Therapy Clinic/Center
—
OR
Other
Enumeration date
04/16/2015
Last updated
01/11/2024
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