Organization
ADVANCED ORTHOPEDIC PHYSICAL THERAPY, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NATHAN GLENNDALE PHELPS (OWNER)
(503) 537-7070
Entity
Organization
Contact information
Practice address
700 N DEBORAH RD STE 100, NEWBERG, OR 97132-2199
(541) 399-6961
Mailing address
3701 E GRAND OAK DR, NEWBERG, OR 97132-7387
(541) 399-6961
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
5105
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
005727
—
OR
01
—
12268250
CAQH PROVIDER ID (AS INDIVIDUAL PROVIDER)
—
Enumeration date
12/04/2012
Last updated
04/27/2026
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