| |
15796 Se Mcloughlin Blvd, Oak Grove, OR 97267-3854 | |
(503) 443-6156 | |
(503) 639-9699 |
Full Name | |
---|---|
Type | Facility |
Speciality | Physical Therapist |
Location | 15796 Se Mcloughlin Blvd, Oak Grove, Oregon |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1609354729 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | (* (Not Available)) | Primary |
225X00000X | Occupational Therapist | (* (Not Available)) | Secondary |
Mailing Address | Practice Location Address |
---|---|
16083 Sw Upper Boones Ferry Rd Ste 300, Tigard, OR 97224-7736 Ph: (800) 219-8835 | 15796 Se Mcloughlin Blvd, Oak Grove, OR 97267-3854 Ph: (503) 443-6156 |
Sofia Hardin, Physical Therapist Medicare: Medicare Enrolled Practice Location: 15796 Se Mcloughlin Blvd, Oak Grove, OR 97267 Phone: 503-653-5763 |