Elizabeth Grove, DPT | |
16985 Nw Cornell Rd Ste 110, Beaverton, OR 97006-5639 | |
(503) 601-9000 | |
Not Available |
Full Name | Elizabeth Grove |
---|---|
Gender | Female |
Speciality | Physical Therapist |
Location | 16985 Nw Cornell Rd Ste 110, Beaverton, Oregon |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1164112769 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | (* (Not Available)) | Primary |
Provider Name | Benchmark Physical Therapy Of Oregon Llc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1801257191 PECOS PAC ID: 0143510602 Enrollment ID: O20160613001008 |
Mailing Address | Practice Location Address |
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Elizabeth Grove, DPT 1221 Ne 51st Ave Apt 318, Hillsboro, OR 97124-6023 Ph: () - | Elizabeth Grove, DPT 16985 Nw Cornell Rd Ste 110, Beaverton, OR 97006-5639 Ph: (503) 601-9000 |
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