Organization
PETTYGROVE PHYSICAL THERPAY ASSOCIATES LLC
Active
Other names
Pettygrove Physcial Therapy & Sports Rehabilitation
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KELLY A STALLINGS (OFFICE MANAGER)
(503) 228-1306
Entity
Organization
Contact information
Practice address
1515 NW 18TH AVE, SUITE 400, PORTLAND, OR 97123
(503) 228-1306
(503) 228-1307
Mailing address
1515 NW 18TH AVE, SUITE 400, PORTLAND, OR 97123
(503) 228-1306
(503) 228-1307
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
02/05/2007
Last updated
08/22/2020
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