Organization
Q-MJ2
Active
Other names
Equilibrium Physical Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
QUINCY SHORTHILL (PHYSICAL THERAPIST)
(857) 939-1560
Entity
Organization
Contact information
Practice address
8915 SW NORDIC DR, TIGARD, OR 97223-7091
(857) 939-1560
Mailing address
8915 SW NORDIC DR, TIGARD, OR 97223-7091
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05391
OR
Other
Enumeration date
09/02/2013
Last updated
09/02/2013
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