Organization
AVATAR HEALING ARTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICK MICHAEL GERAGHTY DPT (DOCTOR OF PHYSICAL THERAPY)
(406) 370-8974
Entity
Organization
Contact information
Practice address
3115 NE SANDY BLVD, APT 231, PORTLAND, OR 97232-2776
(503) 701-8766
Mailing address
3115 NE SANDY BLVD, APT 231, PORTLAND, OR 97232-2776
(503) 701-8766
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
60228
OR
Other
Enumeration date
06/09/2014
Last updated
06/09/2014
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