Benchmark Physical Therapy of Or, LLC

NPI #1578066429 in Beaverton, Oregon

Provider Information

NPI Number: 1578066429
Entity Type: Organization
Organization Name: Benchmark Physical Therapy of Or, LLC
Primary Specialty: Physical Therapist
Enumeration Date: Mar 16, 2018
Last Updated: Mar 16, 2018

Practice Location

Address: 10065 SW NIMBUS AVE
City: Beaverton
State: Oregon
ZIP Code: 97008-7177
Phone: (789) 123-4567

Authorized Official

Name: KEVIN JOHANNESON
Title: VP REVENUE CYCLE
Phone: (423) 238-2313

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X
Speech-Language Pathologist	235Z00000X
Physical Therapist	225100000X	Primary

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