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PROACTIVE ORTHOPEDIC AND SPORTS PHYSICAL THERAPY OF GRESHAM LLC

Organization (NPI-2) Active

Clinic/Center, Physical Therapy

Provider Information

NPI Number
1467413179
Provider Type
Organization / Facility (NPI-2)
Status
Active

Contact & Location

Address
25500 SE STARK ST SUITE 103, GRESHAM, OR, 970303331
Phone
(503) 328-0222
Fax
(503) 328-0223

Specialties & Taxonomies

Clinic/Center, Physical Therapy Primary License: OR #20573

All Addresses

MAILING

PO BOX 52194 DEPT CODE 961

PHOENIX, AZ, 850722194

(503) 489-1781

LOCATION

25500 SE STARK ST SUITE 103

GRESHAM, OR, 970303331

(503) 328-0222