Organization
BENCHMARK PHYSICAL THERAPY OF OREGON LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN JOHANNESON (VP REVENUE CYCLE)
(423) 238-8923
Entity
Organization
Contact information
Practice address
625 SW RAMSEY AVE STE B, GRANTS PASS, OR 97527-5808
(541) 479-6979
(541) 479-0204
Mailing address
8823 PRODUCTION LN, OOLTEWAH, TN 37363-6511
(423) 238-7217
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
04/08/2016
Last updated
04/08/2016
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