| NPI Details | |
|---|---|
| NPI | 1255473047 |
| Enumeration Date | 02/12/2007 |
| Last Updated | 04/10/2008 |
| Entity Type | Healthcare Provider |
| Active | Over 10 years ago |
| Authorized Information | |
|---|---|
| Name | C. THOMAS C. THOMAS |
| Position | OWNER |
| Phone | (503) 445-7878 |
| Fax | (503) 445-7879 |
| Practice Location | |
|---|---|
| 7522 N LOMBARD ST STE A PORTLAND OR, 97203-3235, US |
|
| Phone | (503) 445-7878 |
| Fax | (503) 445-7879 |
| Business Location | |
|---|---|
| 7522 N LOMBARD ST STE A PORTLAND OR, 97203-3235, US |
|
| Phone | (503) 445-7878 |
| Fax | (503) 445-7879 |
| Toxanomy | |
|---|---|
| Taxonomy Code | 261QP2000X |
| License State | Oregon |
| License Number | 38130399 |
| Remove 1255473047 NPI Number | |
According to our database, Two Rivers Physical Therapy, Llc NPI is 1255473047, taxonomy code is 261QP2000X and license number is 38130399, license state is located at Oregon. Two Rivers Physical Therapy, Llc physically located at 7522 N Lombard St Ste A, Portland OR, 97203-3235. NPI Number 1033115704 has the healthcare provider type.
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1255473047 NPI number is provided on an as is basis without warranty of any kind. 1255473047 is maintained by the National Plan & Provider Enumeration System. The contents of Two Rivers Physical Therapy, Llc are for informational purposes only.
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