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Contact Information

MOUNT TABOR PHYSICAL THERAPY LLC
6807 SE ASH PL
PORTLAND, OR97215-1688
 Phone: 503-432-1845
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physical Therapist

225100000X 65 Physical Therapist in Private Practice
Indicates primary specialty

NPI Profile & details for MOUNT TABOR PHYSICAL THERAPY LLC · (Female)

NPI Number 1558041459
Status Active
Credentials
Entity Individual
Enumeration date 07/25/2023
Last updated 07/25/2025 - About 10 months ago
Sole proprietor 1 Not specified
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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