Organization
OREGON SPORTSCARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KYLE LARKIN (OWNER)
(503) 528-6864
Entity
Organization
Contact information
Practice address
5520 NW HIGHWAY 99, CORVALLIS, OR 97330-9484
(541) 207-3626
Mailing address
3201 NW SHOOTING STAR DR, CORVALLIS, OR 97330-3465
(503) 528-6864
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
01/08/2019
Last updated
01/08/2019
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