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TRACING BETA LLC NPI 1992466817


NPI Information

NPI: 1992466817
Provider Name: TRACING BETA LLC
Classification: Physical Therapist - 2251X0800X
Entity Type: Organization

Specialization: Orthopedic

Address:
2801 15TH PL
FOREST GROVE, OR
ZIP 97116
Phone: (352) 219-5930
Get Directions

TRACING BETA LLC is an orthopedic physical therapist in Forest Grove, OR. The provider is a licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Orthopaedic Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science; pathology/pathophysiology, pain science, medical and surgical considerations, orthopaedic physical therapy theory and practice, and critical inquiry for evidence-based practice. TRACING BETA LLC NPI is 1992466817. The provider is registered as an organization entity type.

The provider's business location address is:

2801 15TH PL
FOREST GROVE, OR
ZIP 97116-107
Phone: (352) 219-5930

The provider's authorized official is Jason Bouwkamp .
The authorized official title is Physical Therapist And Owner and has the following contact phone number (352) 219-5930.

The enumeration date for this NPI number is 1/3/2022 and was last updated on 1/8/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QP2000XClinic/CenterPhysical TherapyNo
22251X0800XPhysical TherapistOrthopedicYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11861896185MEDICAIDOREGON

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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