111Th Square Fitness And Therapy, Llc

LBN: 111Th Square Fitness And Therapy, Llc
111Th Square Fitness And Therapy, Llc is an health care organization with primary practice located at 11126 Ne Halsey St , Portland OR 97220-2021. The organization recently has 3 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist is the primary health care specialty. 111Th Square Fitness And Therapy, Llc can be contacted via phone (503) 256-5200, or through Sanchez, Linda Josephine via phone (503) 256-5200.

Contact Information

Primary practice address
11126 Ne Halsey St Portland OR 97220-2021
Phone: (503) 256-5200
Fax: (503) 253-7958
Website:
Map and Directions
Authorized official contact:
Name: Sanchez, Linda Josephine
Phone: (503) 256-5200

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 0355 Oregon
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X 1333261 Oregon
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist 225700000X 15397 Oregon

Profile Details

NPI number 1750521985
LBN Legal business name 111Th Square Fitness And Therapy, Llc
DBA Doing business as
Authorized official Sanchez, Linda Josephine
Entity Organization
Organization subpart 1 No
Enumeration date Feb 27th, 2009
Last updated Feb 27th, 2009 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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