Umpqua Valley Physical Therapy Llc

NPI 1790746402 - Clinic/Center - 261QP2000X

NPI Details
NPI 1790746402
Enumeration Date 03/31/2006
Last Updated 07/25/2008
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name LARRY DEAN LARRY
Position MANAGING MEMBER
Phone (541) 863-8401
Fax (541) 863-8403
Practice Location
213 NW SECOND AVE
MYRTLE CREEK OR, 97457, US
Phone (541) 863-8401
Fax (541) 863-8403
Business Location
PO BOX 3287
PORTLAND OR, 97208-3287, US
Phone (503) 489-1781
Fax (503) 489-1650
Toxanomy
Taxonomy Code 261QP2000X
License State Oregon
License Number B0093
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According to our database, Umpqua Valley Physical Therapy Llc NPI is 1790746402, taxonomy code is 261QP2000X and license number is B0093, license state is located at Oregon. Umpqua Valley Physical Therapy Llc physically located at 213 Nw Second Ave, Myrtle Creek OR, 97457. NPI Number 1033115704 has the healthcare provider type.

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1790746402 NPI number is provided on an as is basis without warranty of any kind. 1790746402 is maintained by the National Plan & Provider Enumeration System. The contents of Umpqua Valley Physical Therapy Llc are for informational purposes only.