Organization
OREGON PHYSICAL THERAPY & SPORTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SCARLETTE M MIRANDA (OFFICE MANAGER)
(503) 252-4100
Entity
Organization
Contact information
Practice address
3620 NE 122ND AVE, SUITE C, PORTLAND, OR 97230-1365
(503) 252-4100
(503) 252-3390
Mailing address
3620 NE 122ND AVE, SUITE C, PORTLAND, OR 97230-1365
(503) 252-4100
(503) 252-3390
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
11/11/2009
Last updated
07/24/2015
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