Organization
PURE PHYSICAL THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRICE D LEION DPT (OWNER)
(503) 583-7590
Entity
Organization
Contact information
Practice address
4055 MERCANTILE DR APT 251, LAKE OSWEGO, OR 97035-2633
(503) 583-7590
Mailing address
4055 MERCANTILE DR APT 251, LAKE OSWEGO, OR 97035-2633
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
06/08/2023
Last updated
06/08/2023
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