Organization
CORVALLIS SPORT AND SPINE PHYSICAL THERAPY INC
Active
Other names
Corvallis Sport and Spine PT
Organization subpart
No
Provider details
NPI number
Authorized official
KARLA A MOORE (PRACTICE ADMINISTRATOR)
(541) 753-4246
Entity
Organization
Contact information
Practice address
2635 NW ROLLING GREEN DR, CORVALLIS, OR 97330-3519
(541) 753-4246
(541) 757-0545
Mailing address
2635 NW ROLLING GREEN DR, CORVALLIS, OR 97330-3519
(541) 753-4246
(541) 757-0545
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
831588000
BCBS
—
Enumeration date
10/11/2006
Last updated
01/28/2026
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