Organization
HUMA PHYSICAL THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMIE COWAN DPT (DOCTOR OF PHYSICAL THERAPY/CEO)
(503) 208-6617
Entity
Organization
Contact information
Practice address
1625 SE LAFAYETTE ST, PORTLAND, OR 97202-3862
(503) 208-6617
(503) 270-3629
Mailing address
7080 SE OGDEN ST, PORTLAND, OR 97206-7384
(503) 208-6617
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
261QP2000X
Physical Therapy Clinic/Center
—
—
Other
Enumeration date
01/15/2024
Last updated
12/31/2024
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