TIGARD PHYSICAL THERAPY INC
Restorative Service Providers at Greenburg Rd, Portland, OR

License number
Oregon 2600
Category
Restorative Service Providers
Type
Physical Therapist
License number
Oregon 7585
Category
Restorative Service Providers
Type
Physical Therapy Assistant
Owner
Name: MRS. LYNNE R MARSHALL BROOK MSPT
Title: OWNER
Phone: (503) 597-1151
Address
Address 2
11910 SW Greenburg Rd, Portland, OR 97223
PO Box 3728, Tualatin, OR 97062
National Provider ID: 1669449153
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about TIGARD PHYSICAL THERAPY INC at bizstanding.com

TIGARD PHYSICAL THERAPY, INC

Portland, OR  -  Tualatin, OR

Status:
Inactive
Industry:
Health Practitioner's Office
Registration:
Feb 18, 2004
Addresses:
18019 SW Lower Boones Fry Rd, Portland, OR 97224 (Physical)
PO Box 3728, Tualatin, OR 97062 (Mailing)
11910 SW Greenburg Rd, Portland, OR 97223
State ID:
20192894
Business type:
DOMESTIC BUSINESS CORPORATION
Owner:
Lynne R Marshall Brook (Owner)
Agent:
Stan Nrotenberg,5300 Mdw Rd STE 200, Lake Oswego, OR 97035 (Physical)

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