| Organization Name: | OREGON SPINE & PHYSICAL THERAPY LIMITED PARTNERSHIP |
| NPI Number: | 1083646806 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JANNA P. KING (VP/AUTHORIZED OFFICIAL) |
| Mailing Address: | 182 Melton Road Creswell |
| State: | OR US |
| Postal Code: | 97426 |
| Phone Number: | 5418955913 |
| Fax Number: | 5418955941 |
| NPI Enumeration Date: | 07/06/2006 |
| NPI Last Update Date: | 05/22/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QP2000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Physical Therapy |
| Taxonomy Definition: | |