Green Heron Physical Therapy LLC
Green Heron Physical Therapy LLC is a Physical Therapy Clinic/Center in Portland, Oregon. Registered with an NPI since 2021.
- In the registry since
- 2021
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
1706 NW 24th Ave Unit 96034Portland, OR 97296-6613
Phone: (661) 717-9692
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Physical Therapy Clinic/Center (primary) | Taxonomy 261QP2000X |
|---|
Record details
| NPI number | 1518558469 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Mario Urdaneta-Moncada — Owner, Physical Therapist · (661) 717-9692 |
| NPI enumerated | February 2, 2021 |
| Last updated in NPPES | February 2, 2021 |
| Certification date | January 6, 2021 |
| Mailing address | Po Box 96034, Portland, OR 97296-6000 |
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