NPI 1609635507
Sportscare Physical Therapy @ Cornell, LLC
Practice location
- Address
- 24076 SE Stark St STE 210, Gresham, OR 97030-3376
- Phone
- (503) 491-1666
Authorised official
- Name
- Penny Tacker
- Title
- Regulatory Specialist
- Phone
- (713) 297-7052
Registered specialties
Durable Medical Equipment & Medical Supplies
Primary
Registry record
- NPI
- 1609635507
- Entity type
- Organization
- NPI issued
- 14 Mar 2024
- Record last updated
- 14 Mar 2024
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.