Tsl Well LLC
Physical Therapist in Lake Oswego, OR. Organization (NPI-2).
NPI number1730915083
StatusActive
Last updated in NPPESSep 12, 2024
Details
- NPI
- 1730915083
- Entity type
- Organization (NPI-2)
- Legal business name
- Tsl Well LLC
- Organization subpart
- No
- Enumeration date
- Sep 12, 2024
- Certification date
- Sep 12, 2024
- Last updated
- Sep 12, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | – | – | Yes |
Other names
- Tsl Well LLC (Other Name)
Practice location
3900 Kruse Way PlLake Oswego, OR 97035-2512
Phone 503-635-7000
Mailing address
3330 Se Three Mile LnMcMinnville, OR 97128-6232
Phone 503-435-2323
Authorized official
Fancho Fee Stubblefield
Owner
5034352323
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