Healthcare Provider Details

I. General information

NPI: 1568392736
Provider Name (Legal Business Name): FLOWING FUNCTION LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/20/2026
Last Update Date: 05/20/2026
Certification Date: 05/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

137 HALL AVE
COOS BAY OR
97420-1519
US

IV. Provider business mailing address

1031 CENTRAL AVE
COOS BAY OR
97420-1737
US

V. Phone/Fax

Practice location:
  • Phone: 541-236-4468
  • Fax:
Mailing address:
  • Phone: 406-214-4024
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State

VIII. Authorized Official

Name: KATLIN JANDERSON
Title or Position: OWNER, PHYSICAL THERAPIST
Credential: DPT
Phone: 406-214-4024