Clackamas Sportscare LLC

NPI #1689702722 in Clackamas, Oregon

Provider Information

NPI Number
1689702722
Entity Type
Organization
Organization Name
Clackamas Sportscare LLC
Primary Specialty
Physical Therapist
Enumeration Date
Mar 1, 2007
Last Updated
Jul 1, 2015

Practice Location

Address
10121 SE SUNNYSIDE RD
Address 2
SUITE 208
State
Oregon
ZIP Code
97015-5750
Phone
(503) 794-0103

Authorized Official

Name
ETHAN BENJAMIN COLLIER, DPT
Title
DOCTOR PHYSICAL THERAPY DIRECTOR
Phone
(503) 794-0103

Specialties & Taxonomy Codes

Specialty
Physical Therapist

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