Ultra Physical Therapy & Hand Center, LLC
Clinic/Center, Physical Therapy in Beaverton, OR. Organization (NPI-2).
NPI number1669977898
StatusActive
Last updated in NPPESApr 23, 2025
Details
- NPI
- 1669977898
- Entity type
- Organization (NPI-2)
- Legal business name
- Ultra Physical Therapy & Hand Center, LLC
- Organization subpart
- No
- Enumeration date
- Mar 29, 2018
- Certification date
- Apr 23, 2025
- Last updated
- Apr 23, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QP2000X | Clinic/Center, Physical Therapy | – | – | Yes |
Practice location
3905 Sw 117th AveBeaverton, OR 97005-8905
Phone 619-962-2159
Mailing address
3905 Sw 117th Ave Ste ABeaverton, OR 97005-8905
Phone 971-249-3168
Authorized official
Aurore Lariven
Co-Owner
9712493168
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