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

Holographic Body LLC

Organization Physical Therapy Clinic/Center · NPI 1710752191

Holographic Body LLC is a Physical Therapy Clinic/Center in Portland, Oregon. Registered with an NPI since 2023.

In the registry since
2023
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

3014 NE Killingsworth
Portland, OR 97211
Phone: (541) 954-7091
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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 number1710752191
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Adam Persinger — Owner · (541) 954-7091
NPI enumeratedNovember 16, 2023
Last updated in NPPESNovember 16, 2023
Certification dateNovember 13, 2023
Mailing address3834 Ne Simpson St, Portland, OR 97211-7961

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