NPI 1083064547

Benchmark Physical Therapy of Oregon LLC

Organisation Physical Therapist Salem, OR

Practice location

Address: 4132 Devonshire CT NE, Salem, OR 97305-1982
Phone: (503) 364-5313
Fax: (503) 364-5296
Mailing address: 8823 Production Ln, Ooltewah, TN 37363-6511

Authorised official

Name: Kevin Johanneson
Title: Vp Revenue Cycle
Phone: (423) 238-8923

Registered specialties (3)

Physical Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225100000X

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Massage Therapist

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225700000X

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Occupational Therapist

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225X00000X

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Registry record

NPI: 1083064547
Entity type: Organization
NPI issued: 15 Jun 2016
Record last updated: 15 Jun 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.