Active Edge Physical Therapy & Sports Medicine P.c.

NPI #1912574906 in Beaverton, Oregon

Provider Information

NPI Number: 1912574906
Entity Type: Organization
Organization Name: Active Edge Physical Therapy & Sports Medicine P.c.
Subpart: Yes (part of a larger organization)
Parent Organization: ACTIVE EDGE PHYSICAL THERAPY & SPORTS MEDICINE P.C.
Primary Specialty: Physical Therapist
Enumeration Date: Jun 8, 2021
Last Updated: Jun 8, 2021

Practice Location

Address: 11000 SW 11TH ST STE 440B
City: Beaverton
State: Oregon
ZIP Code: 97005-4107
Phone: (503) 387-5449

Authorized Official

Name: DANIEL C MORLAN, PT
Title: PRESIDENT
Phone: (503) 387-5449

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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