Organization
VILLAGE PHYSICAL THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TAM COTTON (OFFICE ADMINISTRATOR)
(503) 389-5754
Entity
Organization
Contact information
Practice address
8430 SW 22ND AVE, PORTLAND, OR 97219-2856
(503) 389-5754
(503) 966-1459
Mailing address
3521 SW COMUS ST, PORTLAND, OR 97219-7561
(503) 389-5754
(503) 966-1459
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
Other
Enumeration date
03/19/2019
Last updated
09/15/2025
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