Benchmark Physical Therapy of Or, LLC

NPI #1720621030 in Dallas, Oregon

Provider Information

NPI Number: 1720621030
Entity Type: Organization
Organization Name: Benchmark Physical Therapy of Or, LLC
Primary Specialty: Physical Therapist
Enumeration Date: Oct 21, 2019
Last Updated: Oct 24, 2019

Practice Location

Address: 170 W ELLENDALE AVE STE 101
City: Dallas
State: Oregon
ZIP Code: 97338-1456
Phone: (503) 420-4287

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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