NPI 1003135658

New Leaf Physical and Massage Therapy, LLC

Organisation Physical Medicine & Rehabilitation Physician Portland, OR

Practice location

Address: 4050 NE Broadway St, Portland, OR 97232-1828
Phone: (503) 318-0654
Mailing address: 2734 SE 47th Ave, Portland, OR 97206-1547

Authorised official

Name: Mary Gramling
Title: President
Phone: (503) 318-0654

Registered specialties

Physical Medicine & Rehabilitation Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208100000X

Other Physical Medicine & Rehabilitation providers in Oregon →

Registry record

NPI: 1003135658
Entity type: Organization
NPI issued: 21 May 2010
Record last updated: 16 Jun 2010

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.