WEST PORTLAND PHYSICAL THERAPY CLINIC LLC (NPI# 1134175706) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134175706 |
| Entity Type | Organization |
| Organization Name | WEST PORTLAND PHYSICAL THERAPY CLINIC LLC |
| Other Organization Name | WEST PORTLAND PHYSICAL THERAPY |
| Practice Address |
1630 Sw Morrison St Suite 100 Portland OR 97205-1916 |
| Practice Telephone | 5032277774 |
| Practice Fax Number | 5032277548 |
| Mailing Telephone | 5032277774 |
| Mailing Fax Number | 5032277548 |
| Enumeration Date | 2006-05-25 |
| Last Update Date | 2013-04-18 |
| Authorized Official Name | SCOTT OSBURNE (GENERAL MANAGER) |
| Authorized Official Telephone | 5032277774 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| West Portland Physical Therapy | Other Name - Individual/Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | WEST PORTLAND PHYSICAL THERAPY CLINIC LLC | 1630 Sw Morrison St Suite 100, Portland, OR 97205 |
| Street Address |
1630 SW MORRISON ST SUITE 100 |
| City | PORTLAND |
| State | OR |
| Zip Code | 97205-1916 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952386039 | Scott M Gulstine | Physical Therapist | 1630 Sw Morrison St, Suite 100, Portland, OR 97205-1916 | 2005-12-12 |
| 1346787348 | Kristi Rae Caragliano | Physical Therapist | 1630 Sw Morrison St, Portland, OR 97205-1916 | 2017-01-27 |
| 1740654425 | Jennifer M Parker | Physical Therapist | 1630 Sw Morrison St, Portland, OR 97205-1916 | 2015-11-18 |
| 1013312875 | Eryn Kirschbaum | Physical Therapist | 1630 Sw Morrison St, Suite 100, Portland, OR 97205-1916 | 2014-10-22 |
| 1134521677 | Meaghan Burch | Physical Therapy Assistant | 1630 Sw Morrison St, Suite 100, Portland, OR 97205-1916 | 2014-09-16 |
| 1083015804 | Brietta Lise Kubak | Physical Therapist | 1630 Sw Morrison St, Portland, OR 97205-1916 | 2014-09-11 |
| 1700174521 | Caroline T. Hutcherson | Physical Therapist | 1630 Sw Morrison St, Suite 100, Portland, OR 97205-1916 | 2011-07-13 |
| 1962792788 | Anna Louise Yarzak | Physical Therapist | 1630 Sw Morrison St, Suite 100, Portland, OR 97205-1916 | 2011-04-13 |
| 1861794877 | Elizabeth J. Ruegg | Physical Therapist | 1630 Sw Morrison St, Suite 100, Portland, OR 97205-1916 | 2010-11-23 |
| 1356674147 | Elizabeth Marie Hughes | Clinic/Center | 1630 Sw Morrison St, Suite 100, Portland, OR 97205-1916 | 2009-09-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871026062 | Leila Soltani | Dentist | 430 Sw 13th Ave Apt 2010, Portland, OR 97205 | 2017-04-05 |
| 1114374949 | Elizabeth Alire | Counselor | 1411 Sw Morrison St., Portland, OR 97205 | 2016-05-23 |
| 1508237462 | Pacific Psychology and Comprehensive Health Center | Community/Behavioral Health | 1411 Sw Morrison Ave, Suite 310, Portland, OR 97205 | 2015-10-16 |
| 1265803761 | Alana Branson | Naturopath | 1033 Sw Yamhill Street, Suite 403, Portland, OR 97205 | 2015-10-10 |
| 1720458011 | Kate Ohene | Counselor | 1411 Sw Morrison Street, Suite 310, Portland, OR 97205 | 2015-09-30 |
| 1285004671 | Christina Nannette Mendoza | Counselor | 1411 Sw Morriston Street, 310, Portland, OR 97205 | 2015-09-29 |
| 1083095947 | Patricia Burton | Registered Nurse | 1312 Sw Washinghton, Portland, OR 97205 | 2015-06-16 |
| 1649663071 | Huey Holistic | Clinic/Center | 1221 Sw Yamill, Suite 300, Portland, OR 97205 | 2015-03-10 |
| 1376952796 | Joan Kendall Ayala | Counselor | 610 Sw Alder St Ste 915, Portland, OR 97205 | 2014-08-11 |
| 1316356165 | Satheara Sin | Massage Therapist | 1033 Sw Yamhill St. #403, Portland, OR 97205 | 2014-08-06 |
| Find all providers in zip 97205 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841898632 | Spine Strong Physical Therapy and Scoliosis Rehabilitation | Clinic/Center | 251 Danforth St Unit 1, Portland, ME 04102-3705 | 2020-10-13 |
| 1356969976 | Readygo Physical Therapy LLC | Clinic/Center | 904 Se 69th Ave, Portland, OR 97215-2120 | 2020-07-09 |
| 1144865841 | St. Johns Physical Therapy | Clinic/Center | 8835 N Bradford St, Portland, OR 97203-2869 | 2019-11-18 |
| 1215584446 | Patrick Franko Pt LLC | Clinic/Center | 2331 Ne 43rd Ave, Portland, OR 97213-1332 | 2019-08-22 |
| 1487112553 | Tabor Pediatric Physical Therapy LLC | Clinic/Center | 2224 Se 53rd Ave, Portland, OR 97215-3916 | 2019-03-07 |
| 1629542675 | Helen Quirk Ms Physical Therapy, LLC | Clinic/Center | 10200 Sw Eastridge St Ste 115, Portland, OR 97225-5031 | 2019-01-13 |
| 1063996585 | Physioflow | Clinic/Center | 7324 Sw Virginia Ave, Portland, OR 97219-3039 | 2018-09-20 |
| 1477084549 | Physio Pdx LLC | Clinic/Center | 2250 Nw Flanders St Ste G1, Portland, OR 97210-3475 | 2017-03-21 |
| 1417319781 | Body Mechanix | Clinic/Center | 530 Nw 23rd Ave Ste 116, Portland, OR 97210-3287 | 2016-03-24 |
| 1164899373 | Root & Branch Physical Therapy | Clinic/Center | 2232 Nw Pettygrove St, Ste 110, Portland, OR 97210 | 2015-08-24 |
| Find all providers in PORTLAND | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.