Organization
INTEGRATE PHYSICAL THERAPY, BODYWORK AND WELLNESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELISABETH ESTACIO PT (OWNER)
(503) 702-2921
Entity
Organization
Contact information
Practice address
1975 NW 167TH PL STE 100, BEAVERTON, OR 97006-4908
(503) 702-2921
Mailing address
18170 NW PARK VIEW BLVD, PORTLAND, OR 97229-3338
(503) 702-2921
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
10/25/2019
Last updated
10/25/2019
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