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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

NPI Number 1558041459
LBN Legal business name MOUNT TABOR PHYSICAL THERAPY LLC
Authorized official ABIGAIL RICHARDS - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 07/25/2023
Last updated 07/25/2025 - About 10 months ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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