OrganizationActive
Custom Care Physical Therapy, LLC.
NPI 1508005026 · Physical Therapy Clinic/Center · Forest Grove, OR
Provider details
- NPI number
- 1508005026
- Entity type
- Organization
- Primary specialty
- Physical Therapy Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Lauren Mason, General Manager(503) 357-1706
- License
- 3440 (OR)
Specialties & taxonomies
Ambulatory Health Care Facilities
Ambulatory Health Care Facilities
Practice location
3838 Pacific Ave
Forest Grove, OR 97116-2224
Phone: (503) 357-1706
Fax: (503) 270-5023
Approximate (ZIP-level) locationGet directions
Mailing address
3838 Pacific Ave
Forest Grove, OR 97116-2224
Registry dates
- Enumerated
- 2009-02-05
- Last updated
- 2022-05-24
- Certified
- 2021-07-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.