Tracing Beta Llc

LBN: Tracing Beta Llc
Tracing Beta Llc is an health care organization with primary practice located at 2801 15Th Pl , Forest Grove OR 97116-3107. The organization recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic, Ambulatory Health Care Facilities / Physical Therapy. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic is the primary health care specialty. Tracing Beta Llc can be contacted via phone (352) 219-5930, or through Bouwkamp, Jason via phone (352) 219-5930.

Contact Information

Primary practice address
2801 15Th Pl Forest Grove OR 97116-3107
Phone: (352) 219-5930
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Bouwkamp, Jason PT, DPT, MS, CSCS
Phone: (352) 219-5930

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic 2251X0800X
Ambulatory Health Care Facilities / Physical Therapy 261QP2000X

Profile Details

NPI number 1992466817
LBN Legal business name Tracing Beta Llc
DBA Doing business as
Authorized official Bouwkamp, Jason PT, DPT, MS, CSCS
Entity Organization
Organization subpart 1 No
Enumeration date Jan 3rd, 2022
Last updated Jan 8th, 2022 - about 3 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1992466817 NPPES
Oregon MEDICAID 1861896185

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