Aegis Group Practice LLC

NPI #1922803402 in Beaverton, Oregon

Provider Information

NPI Number: 1922803402
Entity Type: Organization
Organization Name: Aegis Group Practice LLC
Primary Specialty: Physical Therapist
Enumeration Date: Feb 18, 2025
Last Updated: Feb 18, 2025

Practice Location

Address: 5450 SW ERICKSON AVE
City: Beaverton
State: Oregon
ZIP Code: 97005-4018
Phone: (479) 201-6091

Authorized Official

Name: TRACY MCCALL
Title: CREDENTIALING
Phone: (479) 201-6091

Specialties & Taxonomy Codes

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

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