| |
2142 College Way, Forest Grove, OR 97116-1727 | |
(503) 352-2269 | |
(503) 352-3105 |
Full Name | |
---|---|
Type | Facility |
Speciality | Clinic/center - Health Service |
Location | 2142 College Way, Forest Grove, Oregon |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1811363310 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2251S0007X | Physical Therapist - Sports | (* (Not Available)) | Secondary |
261QH0100X | Clinic/center - Health Service | (* (Not Available)) | Primary |
Mailing Address | Practice Location Address |
---|---|
2043 College Way, Forest Grove, OR 97116-1756 Ph: (503) 352-2705 | 2142 College Way, Forest Grove, OR 97116-1727 Ph: (503) 352-2269 |