| Fountain Of Youth Physical Therapy Llc | |
|
9860 Sw Hall Blvd Ste A3, Tigard, OR 97223-8896 | |
| (503) 902-2123 | |
| Not Available |
| Full Name | Fountain Of Youth Physical Therapy Llc |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 9860 Sw Hall Blvd Ste A3, Tigard, Oregon |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801115183 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 4954 (Oregon) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Fountain Of Youth Physical Therapy Llc 664 Sw Rustica Ter, Portland, OR 97225-7057 Ph: () - | Fountain Of Youth Physical Therapy Llc 9860 Sw Hall Blvd Ste A3, Tigard, OR 97223-8896 Ph: (503) 902-2123 |
Evan Liu, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 7800 Sw Durham Rd, Ste. 500, Tigard, OR 97224 Phone: 503-937-0090 | |
Alexis Smith, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 16083 Sw Upper Boones Ferry Rd, Tigard, OR 97224 Phone: 800-219-8835 | |
Noel L Baier, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 13200 Sw Pacific Hwy, Tigard, OR 97223 Phone: 503-598-2008 Fax: 503-598-2020 | |
Colbie J Jorgensen, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 11900 Sw Greenburg Rd, Tigard, OR 97223 Phone: 503-620-5556 Fax: 503-624-0118 | |
Mrs. Jessica Steele-thornborrow, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 18039 Sw Lower Boones Ferry Rd, Tigard, OR 97224 Phone: 503-753-1537 | |
Miranda Rose Paasche, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 12700 Sw Pacific Hwy, Tigard, OR 97223 Phone: 503-753-1537 Fax: 503-573-8004 | |
Cali Lescas Hernandez, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 9735 Sw Shady Ln Ste 203b, Tigard, OR 97223 Phone: 503-223-1856 Fax: 503-223-1856 |