Active Edge Physical Therapy & Sports Medicine
Organization Active NPI Physical Therapist · West Linn, OR
NPI 1174972053 · NPPES record last updated Jun 10, 2016
Key facts
- NPI
- 1174972053
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Physical Therapist 225100000X
- License
- 61684 (OR)
- Legal business name
- ACTIVE EDGE PHYSICAL THERAPY & SPORTS MEDICINE
- Practice address
- 2020 8TH Ave
Suite D
West Linn, OR 97068-4657 - Phone
- (503) 387-5449
- NPI assigned
- Jun 10, 2016
- Organization subpart
- No
Authorized official
- Name
- Dan Morlan
- Title
- Physical Therapist
- Phone
- (503) 387-5449
Corporate family (same tax ID) 2
National Provider Directory
- Tax ID family
- Active Edge PT Sports Med
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist |
225100000X | 61684 | OR | Yes |
Addresses
Primary practice location
2020 8TH Ave
Suite D
West Linn, OR 97068-4657
Mailing address
2020 8TH Ave
Suite D
West Linn, OR 97068-4657
Phone (503) 387-5449
Other providers in West Linn, OR
- 1918 Winter Street Operating Co LLC
- A Sight for Sport Eyes
- Chihiro Anne Aber
- Juli Abraham
- Active Edge Physical Therapy & Sports Medicine P.C.
- Activeedge Tualatin, LLP
- Gwyn A. Adams
- Adroit Dental
- Advance Sports & Spine Therapy LLC
All providers in West Linn, OR · Physical Therapist in Oregon
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 10, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.