Benchmark Physical Therapy Of Or, LLC
Physical Therapist in Wilsonville, OR. Organization (NPI-2).
NPI number1407365331
StatusActive
Last updated in NPPESSep 22, 2017
Details
- NPI
- 1407365331
- Entity type
- Organization (NPI-2)
- Legal business name
- Benchmark Physical Therapy Of Or, LLC
- Organization subpart
- No
- Enumeration date
- Sep 22, 2017
- Last updated
- Sep 22, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | – | – | Yes |
| 225X00000X | Occupational Therapist | – | – | |
| 235Z00000X | Speech-Language Pathologist, | – | – |
Other names
- Benchmark Pt - Wilsonville (Other Name)
Practice location
8642 Sw Main St Ste 130Wilsonville, OR 97070-6585
Phone 503-855-4909 · Fax 503-855-3533
Mailing address
6397 Lee Hwy Ste 300Chattanooga, TN 37421-2564
Phone 423-238-7217 · Fax 423-238-3473
Authorized official
Kevin Johanneson
Vp Revenue Cycle
4232383220
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