Provider Demographics
NPI:1629542675
Name:HELEN QUIRK MS PHYSICAL THERAPY, LLC
Entity Type:Organization
Organization Name:HELEN QUIRK MS PHYSICAL THERAPY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:HELEN
Authorized Official - Middle Name:JOANNE
Authorized Official - Last Name:QUIRK
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:503-517-2021
Mailing Address - Street 1:PO BOX 219242
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97225-9242
Mailing Address - Country:US
Mailing Address - Phone:503-517-2021
Mailing Address - Fax:503-517-3104
Practice Address - Street 1:10200 SW EASTRIDGE ST STE 115
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97225-5031
Practice Address - Country:US
Practice Address - Phone:503-517-2021
Practice Address - Fax:503-517-3104
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-01-13
Last Update Date:2019-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy