PDX BODYWORKS PHYSICAL THERAPY NPI 1639566698

NPI Information

NPI: 1639566698
Provider Name: PDX BODYWORKS PHYSICAL THERAPY

Other Name: NORTHWEST INJURY CARE

Classification: Clinic/Center - 261QH0100X
Entity Type: Organization

Specialization: Health Service

Address:
1818 NE MLK BLVD STE C
PORTLAND, OR
ZIP 97212
Phone: (503) 206-8988
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PDX BODYWORKS PHYSICAL THERAPY is a health service clinic center in Portland, OR. PDX BODYWORKS PHYSICAL THERAPY NPI is 1639566698. The provider is registered as an organization entity type.
The provider Other Name Is Northwest Injury Care.

The provider's business location address is:

1818 NE MLK BLVD STE C
PORTLAND, OR
ZIP 97212-976
Phone: (503) 206-8988
Fax: (503) 206-6143

The provider's authorized official is Shawn P. Cooney .
The authorized official title is Co-owner and has the following contact phone number (971) 678-7422.

The enumeration date for this NPI number is 4/16/2015 and was last updated on 1/11/2024.

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
1	261QP2000X	Clinic/Center	Physical Therapy		OREGON	No
2	261QH0100X	Clinic/Center	Health Service			Yes

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: 4/28/2024

NPI Synchronization or Removal

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