Organization
UMPQUA VALLEY PHYSICAL THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LARRY DEAN KROUT (MANAGING MEMBER)
(503) 740-8847
Entity
Organization
Contact information
Practice address
213 NW SECOND AVE, MYRTLE CREEK, OR 97457
(541) 863-8401
(541) 863-8403
Mailing address
PO BOX 3287, PORTLAND, OR 97208-3287
(503) 489-1781
(503) 489-1650
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
B0093
OR
Other
Enumeration date
03/31/2006
Last updated
07/25/2008
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