Organization
WALTON PHYSICAL THERAPY & SPORTS MEDICINE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
W. TODD WALTON PHYSICAL THERAPIST (CEO)
(503) 639-2118
Entity
Organization
Contact information
Practice address
17400 SW UPPER BOONES FERRY RD., SUITE 280, DURHAM, OR 97224-7216
(503) 639-2118
Mailing address
17400 SW UPPER BOONES FERRY RD., SUITE 280, DURHAM, OR 97224-7216
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
—
261QR0400X
Rehabilitation Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CB6469
MEDICARE RAILROAD PIN
OR
Enumeration date
04/12/2007
Last updated
10/20/2023
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