Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Advance Sports & Spine Therapy LLC

Organization Physical Therapist · NPI 1669405767

Advance Sports & Spine Therapy LLC is a Physical Therapist in Wilsonville, Oregon. Licensed in Oregon. Registered with an NPI since 2006.

Licensed in
OR
In the registry since
2006
Specialties on file
2
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

25030 Parkway Ave #101
Wilsonville, OR 97070
Phone: (503) 723-0347
Fax: (503) 655-9305
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X
Physical Therapy Clinic/Center Taxonomy 261QP2000X (OR)

Record details

NPI number1669405767
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Noel Tenoso — Owner · (503) 723-0347
NPI enumeratedJuly 9, 2006
Last updated in NPPESAugust 3, 2023
Certification dateAugust 3, 2023
Mailing address1554 Garden St Ste 103, West Linn, OR 97068-3278

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