Tracing Beta LLC
NPI #1992466817 in Forest Grove, Oregon
Provider Information
- NPI Number
- 1992466817
- Entity Type
- Organization
- Organization Name
- Tracing Beta LLC
- Primary Specialty
- Physical Therapist - Orthopedic
- Enumeration Date
- Jan 3, 2022
- Last Updated
- Jan 8, 2022
Practice Location
- Address
- 2801 15TH PL
- City
- Forest Grove
- State
- Oregon
- ZIP Code
- 97116-3107
- Phone
- (352) 219-5930
Authorized Official
- Name
- DR. JASON BOUWKAMP, PT, DPT, MS, CSCS
- Title
- PHYSICAL THERAPIST AND OWNER
- Phone
- (352) 219-5930
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Physical Therapy — Physical Therapy |
| Physical Therapist - Orthopedic — Orthopedic |
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