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Organization

ROOTS PHYSICAL THERAPY LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SARA ULRICH (OWNER/PHYSICAL THERAPIST)
(503) 260-5397
Entity
Organization

Contact information

Practice address
7915 NE SISKIYOU ST, PORTLAND, OR 97213-6571
(503) 260-5397
Mailing address
7915 NE SISKIYOU ST, PORTLAND, OR 97213-6571
(503) 260-5397

Taxonomy

Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
3360
OR

Other

Enumeration date
04/09/2012
Last updated
03/08/2022
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