Provider Demographics
NPI:1841720471
Name:UPRIGHT INTEGRATION LLC
Entity type:Organization
Organization Name:UPRIGHT INTEGRATION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:WILLOUGHBY
Authorized Official - Middle Name:F
Authorized Official - Last Name:COOKE
Authorized Official - Suffix:
Authorized Official - Credentials:LMT, BCSI
Authorized Official - Phone:541-556-3041
Mailing Address - Street 1:5707 NE 12TH AVE
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97211-4217
Mailing Address - Country:US
Mailing Address - Phone:541-556-3041
Mailing Address - Fax:
Practice Address - Street 1:917 SW OAK ST
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97205-2829
Practice Address - Country:US
Practice Address - Phone:541-556-3041
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-06-15
Last Update Date:2017-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR41142225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage TherapistGroup - Single Specialty