<Unavail>
LBN: Dimond Physical Therapy And Performance Lab, Llc
<Unavail> is an health care organization with primary practice located at 735 Sw 158Th Ave Ste 160, Beaverton OR 97006-4952. The organization recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as the primary health care specialty.
Dimond Physical Therapy And Performance Lab, Llc can be contacted via phone (503) 597-0035, or through Dimond, Donnel T via phone (503) 810-7264.
Contact Information
Primary practice address
735 Sw 158Th Ave Ste 160
Beaverton OR 97006-4952
Phone: (503) 597-0035
Fax: (503) 296-2985
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 4750 | Oregon |
Profile Details
| NPI number | 1184864365 |
|---|---|
| LBN Legal business name | Dimond Physical Therapy And Performance Lab, Llc |
| DBA Doing business as | <Unavail> |
| Authorized official | Dimond, Donnel T Physical Therapist (PT) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Feb 27th, 2009 |
| Last updated | Jan 21st, 2011 - about 15 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1184864365 | NPPES |
| Oregon | Other | 520244000 | REGENCE |
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