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Organization

HEADQUARTERS PHYSICAL THERAPY LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. RYAN BAUGUS DPT (PHYSICAL THERAPIST/CEO)
(503) 610-9281
Entity
Organization

Contact information

Practice address
5465 SW WESTERN AVE STE H, BEAVERTON, OR 97005-4179
(503) 610-9281
(971) 339-7071
Mailing address
5465 SW WESTERN AVE STE H, BEAVERTON, OR 97005-4179
(503) 610-9281
(971) 339-7071

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary

Other

Enumeration date
09/24/2020
Last updated
07/14/2021
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