Provider Demographics
NPI:1619212248
Name:NARI CLEMONS, PHYSICAL THERAPIST, LLC
Entity Type:Organization
Organization Name:NARI CLEMONS, PHYSICAL THERAPIST, LLC
Other - Org Name:HEALTHY PELVIS, HEALTHY CORE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:NARI
Authorized Official - Middle Name:KAUR
Authorized Official - Last Name:CLEMONS
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:971-284-2062
Mailing Address - Street 1:560 NW 87TH TER STE 410
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97229-6419
Mailing Address - Country:US
Mailing Address - Phone:317-670-6110
Mailing Address - Fax:888-447-0339
Practice Address - Street 1:560 NW 87TH TER STE 410
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97229-6419
Practice Address - Country:US
Practice Address - Phone:971-284-2062
Practice Address - Fax:888-447-0339
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-12-08
Last Update Date:2020-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical TherapyGroup - Single Specialty