Organization
TITAN PHYSICAL THERAPY SERVICES, LLC
Active
Other names
Physical Therapy at the MAC
Organization subpart
No
Provider details
NPI number
Authorized official
JAY BRENT JENSEN PT, ATC (OWNER)
(503) 519-0011
Entity
Organization
Contact information
Practice address
1849 SW SALMON ST, PORTLAND, OR 97205-1726
(503) 519-0011
Mailing address
16623 SW OYSTERCATCHER LN, BEAVERTON, OR 97007-8706
(503) 519-0011
(503) 590-3687
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
06984
OR
Other
Enumeration date
05/18/2016
Last updated
05/18/2016
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