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NPI Code Detail

MEDICARE: COLUMBIA GORGE PHYSICAL THERAPY INC

MEDICARE: COLUMBIA GORGE PHYSICAL THERAPY INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical Therapist

General Provider Information

NPI Number : 1073504809
Entity Type Code : Organization
Provider Name (Legal Business Name) : COLUMBIA GORGE PHYSICAL THERAPY INC
Provider Business Mailing Address
First Line : 2002 12TH ST
Second Line :
City : HOOD RIVER
State : OR
Zip : 97031-9543
Country : US
Telephone Number : 541-386-1211
Fax Number : 541-386-7211
Provider Business Practice Location Address
First Line : 2002 12TH ST
Second Line :
City : HOOD RIVER
State : OR
Zip : 97031-9543
Country : US
Telephone Number : 541-386-1211
Fax Number : 541-386-7211
Authorized Official
Title or Position : OWNER
Name : BETTINA M BARDIN-SORENSEN
Credential : PT
Telephone Number : 541-386-1211
Provider Enumeration Date : 11/01/2005
Last Update Date : 09/12/2017

Similar Medicare Providers

1407847742 — MS. BETTINA M BARDIN-SORENSEN MSPT
Practice Location Address:
2002 12TH ST
HOOD RIVER, OR
97031-9543
Practice Phone: 541-386-1211
Practice Fax: 541-386-7211
1467511386 — DR. MELISSA A SHAYS ND, LAC
Practice Location Address:
2002 12TH ST
HOOD RIVER, OR
97031-9543
Practice Phone: 503-750-5277
Practice Fax: 866-850-9552
1568516136 — LAUREL V ROOF MPT
Practice Location Address:
2002 12TH ST
HOOD RIVER, OR
97031-9543
Practice Phone: 541-386-1211
Practice Fax:
1912053083 — SHENDRA D THORPE PT
Practice Location Address:
2002 12TH ST
HOOD RIVER, OR
97031-9543
Practice Phone: 541-386-1211
Practice Fax: 541-386-7211
1154509255 — BROOKE FRANCES FLOOD P.T.
Practice Location Address:
2002 12TH ST
HOOD RIVER, OR
97031-9543
Practice Phone: 541-386-1211
Practice Fax:
1154659555 — EDITH SEYL POLSON OTR/L
Practice Location Address:
2002 12TH ST
HOOD RIVER, OR
97031-9543
Practice Phone: 541-386-1211
Practice Fax: 541-386-7211

Directions to “COLUMBIA GORGE PHYSICAL THERAPY INC ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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