NPI 1003295775
Proactive Physical Therapy Tualatin
Practice location
- Address
- 19255 SW 65th Ave Suite 250, Tualatin, OR 97062-7451
- Phone
- (503) 545-0526
- Fax
- (503) 855-4568
- Mailing address
- 1480 NE Village St, Fairview, OR 97024-3827
Authorised official
- Name
- Michelle McCall
- Title
- Billing Director / Credentialing
- Phone
- (503) 489-6250
Registered specialties
Physical Therapist
Primary
Registry record
- NPI
- 1003295775
- Entity type
- Organization
- NPI issued
- 27 May 2015
- Record last updated
- 26 Feb 2016
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.