Pettygrove Physcial Therapy & Sports Rehabilitation

LBN: Pettygrove Physical Therpay Associates Llc
Pettygrove Physcial Therapy & Sports Rehabilitation is an health care organization with primary practice located at 1515 Nw 18Th Ave Suite 400, Portland OR 97123. The organization recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as the primary health care specialty. Pettygrove Physical Therpay Associates Llc can be contacted via phone (503) 228-1306, or through Stallings, Kelly A via phone (503) 228-1306.

Contact Information

Primary practice address
1515 Nw 18Th Ave Suite 400 Portland OR 97123
Phone: (503) 228-1306
Fax: (503) 228-1307
Website:
Map and Directions
Authorized official contact:
Name: Stallings, Kelly A
Phone: (503) 228-1306

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X

Profile Details

NPI number 1750420063
LBN Legal business name Pettygrove Physical Therpay Associates Llc
DBA Doing business as Pettygrove Physcial Therapy & Sports Rehabilitation
Authorized official Stallings, Kelly A
Entity Organization
Organization subpart 1 No
Enumeration date Feb 5th, 2007
Last updated Aug 22nd, 2020 - about 4 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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