Headquarters Physical Therapy LLC

NPI #1760099725 in Beaverton, Oregon

Provider Information

NPI Number: 1760099725
Entity Type: Organization
Organization Name: Headquarters Physical Therapy LLC
Primary Specialty: Physical Therapist
Enumeration Date: Sep 24, 2020
Last Updated: Jul 14, 2021

Practice Location

Address: 5465 SW WESTERN AVE STE H
City: Beaverton
State: Oregon
ZIP Code: 97005-4179
Phone: (503) 610-9281

Authorized Official

Name: DR. RYAN BAUGUS, DPT
Title: PHYSICAL THERAPIST/CEO
Phone: (503) 610-9281

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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