| NPI | 1528268588 |
|---|---|
| Former Legal Business Name | 360 DEGREE SPORTS MEDICINE & SPINE THERAPY |
| Entity Type | Organization |
| Authorized Contact | MICHELLE COFFMAN CEO 503-248-0360 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic |
| Additional Taxonomies | 261QP2000X Clinic/Center, Physical Therapy (Licence: OR 3018) |
| Enumeration Date | 2007-07-18 |
| Last Update Date | 2022-10-31 |