OrganizationActive
360 Degree Sports Medicine & Spine Therapy LLC
NPI 1528268588 · Orthopedic Physical Therapist · Portland, OR
Provider details
- NPI number
- 1528268588
- Entity type
- Organization
- Primary specialty
- Orthopedic Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Authorized official
- Michelle Coffman, Ceo
- License
- 3018 (OR)
Practice location
1215 Se 8th Ave.
Suite D
Portland, OR 97214
Phone: (503) 248-0360
Fax: (503) 334-3675
Mailing address
1215 Se 8th Ave.
Portland, OR 97214
Registry dates
- Enumerated
- 2007-07-18
- Last updated
- 2022-10-31
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.