Organization
CORE PHYSICAL THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELLIE BARNES (OWNER)
(971) 404-6146
Entity
Organization
Contact information
Practice address
443 NE KNOTT ST, PORTLAND, OR 97212-3108
(971) 404-6146
(503) 282-1990
Mailing address
443 NE KNOTT ST, PORTLAND, OR 97212-3108
(971) 404-6146
(503) 282-1990
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
3153
OR
Other
Enumeration date
10/08/2014
Last updated
10/08/2014
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