- Practice location
- 1215 SE 8TH Ave., Suite D, Portland, OR 97214
- Phone
- 503-248-0360
- Fax
- 503-334-3675
- Last updated
- October 31, 2022
360 Degree Sports Medicine & Spine Therapy LLC is a healthcare organization based in Portland, OR. 360 Degree Sports Medicine & Spine Therapy LLC practices in Portland, OR. The NPI Number for 360 Degree Sports Medicine & Spine Therapy LLC is 1528268588 and holds a License No. 3018 (OR). The current practice location address for 360 Degree Sports Medicine & Spine Therapy LLC is 1215 SE 8TH Ave., Suite D, Portland, OR 97214 and can be reached out via phone at 503-248-0360 and via fax at 503-334-3675.
Provider Profile Details
- NPI Number
- 1528268588
- Provider Name
- 360 Degree Sports Medicine & Spine Therapy LLC
- Provider Entity Type
- Organization
- Address
- 1215 SE 8TH Ave., Suite D, Portland, OR 97214
- Phone Number
- 503-248-0360
- Fax Number
- 503-334-3675
- Primary Taxonomy
- Physical Therapist, Orthopedic · 2251X0800X
- Organization Subpart
- No
- Authorized Official
- Michelle Coffman, PT · Ceo · 503-248-0360
- Other Names
- 360 Degree Sports Medicine & Spine Therapy (Former Legal Business Name)
- Provider Enumeration Date
- July 18, 2007
- Last Update Date
- October 31, 2022
- Certification Date
- October 31, 2022
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 1215 SE 8TH Ave.
Suite D
Portland, OR 97214 - City
- Portland
- State
- Oregon
- Zip
- 97214
- Phone Number
- 503-248-0360
- Fax Number
- 503-334-3675
Provider Business Mailing Address Details
- Address
- 1215 SE 8TH Ave.
Suite D
Portland, OR 97214 - City
- Portland
- State
- OR
- Zip
- 97214
- Phone Number
- 503-248-0360
- Fax Number
- 503-334-3675
License Information
- License Number (1)
- 3018
- License State (1)
- OR
- Taxonomy (1)
- Clinic/Center, Physical Therapy · 261QP2000X
- Taxonomy (2)
- Physical Therapist, Orthopedic · 2251X0800X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of 360 Degree Sports Medicine & Spine Therapy LLC?
The NPI number of 360 Degree Sports Medicine & Spine Therapy LLC is 1528268588. It was assigned on July 18, 2007 and is currently active in the NPPES registry.
What is the specialty of 360 Degree Sports Medicine & Spine Therapy LLC?
360 Degree Sports Medicine & Spine Therapy LLC is registered under the primary taxonomy Physical Therapist, Orthopedic (code 2251X0800X), licensed in OR under license number 3018.
Where does 360 Degree Sports Medicine & Spine Therapy LLC practice?
The practice location is 1215 SE 8TH Ave., Suite D, Portland, OR 97214. The office can be reached at 503-248-0360 (phone) or 503-334-3675 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1528268588 directly on the NPPES registry website.