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General NPI Number Information
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NPI Number | 1790694354
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Entity Type | Organization
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Legal Business Name | COURTLETE SPORTS REHAB & PERFORMANCE LLC
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Dates
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Enumeration Date | 09/01/2026
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Last Update Date | 09/29/2026
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Provider Practice Location Address
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Address Line | 8010 SW NIMBUS AVE
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City | BEAVERTON
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State | OR
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Zip | 97008-6438
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Country | US
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Telephone | 971-318-2444
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Fax |
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Provider Business Mailing Address
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Address Line | 13420 SW 6TH ST
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City | BEAVERTON
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State | OR
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Zip | 97005-3871
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | CHENYONG XIANG
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Credential | PT, DPT, OCS
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Telephone | 971-318-2444
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number |
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License Number State | NULL
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