BRYAN A PASTERNAK (NPI# 1669612115) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669612115 |
| Entity Type | Individual |
| Full Name | BRYAN A PASTERNAK |
| Credential | MPT |
| Practice Address |
10600 Se Mcloughlin Blvd Suite 202 Milwaukie OR 97222-7428 |
| Mailing Address |
Po Box 22499 Milwaukie OR 97269-2499 |
| Practice Telephone | 5034960385 |
| Practice Fax Number | 8666319368 |
| Mailing Telephone | 5034960385 |
| Mailing Fax Number | 8666331936 |
| Enumeration Date | 2009-02-24 |
| Last Update Date | 2009-05-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2251G0304X |
Physical Therapist Specialization: Geriatrics |
3726 | OR | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Y | 2251X0800X |
Physical Therapist Specialization: Orthopedic |
3726 | OR | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
10600 SE MCLOUGHLIN BLVD SUITE 202 |
| City | MILWAUKIE |
| State | OR |
| Zip Code | 97222-7428 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912059601 | Heather M Harris | Specialist | 10600 Se Mcloughlin Blvd, Suite 206, Milwaukie, OR 97222-7428 | 2007-01-16 |
| 1194175067 | Oregon Trail Recovery | Substance Abuse Rehabilitation Facility | 10600 Se Mcloughlin Blvd, 200, Milwaukie, OR 97222-7428 | 2016-06-21 |
| 1881010502 | Oregon Trail Recovery LLC | Clinic/Center | 10600 Se Mcloughlin Blvd, Ste 207, Milwaukie, OR 97222-7428 | 2014-03-06 |
| 1871929588 | Nanci J Doherty | Massage Therapist | 10600 Se Mcloughlin Blvd, #102, Milwaukie, OR 97222-7428 | 2013-09-26 |
| 1063765824 | Katherine Reece Vernon | Occupational Therapist | 10600 Se Mcloughlin Blvd, Ste 202, Milwaukie, OR 97222-7428 | 2012-10-17 |
| 1528329513 | Wellspring Massage LLC | Massage Therapist | 10600 Se Mcloughlin Blvd, Suite 102, Milwaukie, OR 97222-7428 | 2012-06-06 |
| 1477826691 | Brandi Anne Burland | Chiropractor | 10600 Se Mcloughlin Blvd, Suite 101, Milwaukie, OR 97222-7428 | 2012-02-18 |
| 1790083947 | Samantha Rose Mohn | Specialist | 10600 Se Mcloughlin Blvd, Suite 202, Milwaukie, OR 97222-7428 | 2011-03-10 |
| 1730483256 | Judith Claire Buonforte | Occupational Therapist | 10600 Se Mcloughlin Blvd, Suite 202, Milwaukie, OR 97222-7428 | 2010-12-23 |
| 1053620708 | Jmb Caregiving Services, Inc. | In Home Supportive Care | 10600 Se Mcloughlin Blvd, Suite 212, Milwaukie, OR 97222-7428 | 2010-09-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831731397 | Madalyn Kelly Yowell | Technician | 7809 Southeast Southgate Street, Milwaukee, OR 97222 | 2019-10-16 |
| 1336617448 | Nadia Yang | Social Worker | 2115 Se Adams St, Milwaukie, OR 97222 | 2018-11-06 |
| 1851892368 | Arrow Dental LLC | Dentist | 10505 Se 17th Avenue, Milwaukie, OR 97222 | 2018-02-21 |
| 1851814016 | Cathy Maria Andrew | Acupuncturist | 11022 Se Stanley Ave, Milwaukie, OR 97222 | 2017-07-19 |
| 1972025369 | Sarah Elizabeth Giles | Peer Specialist | 11097 Se 21st Ave., Milwaukie, OR 97222 | 2017-07-07 |
| 1366976292 | Brittany Reubendale | Physical Therapist | 12705 See River Rd, Portland, OR 97222 | 2017-04-18 |
| 1669916383 | Margie Hertz | Registered Nurse | 6406 Se Cedarcrest Drive, Milwaukie, OR 97222 | 2016-12-14 |
| 1952858094 | Alexis Escobar | Speech-Language Pathologist | 4560 Se International Way, Ste 100, Milwaukie, OR 97222 | 2016-09-07 |
| 1205295466 | Beth Ann Mills | Acupuncturist | 2025 Se Jefferson St Ste 106, Milwaukie, OR 97222 | 2016-02-16 |
| 1558744086 | Kyle Eugene Coan | Specialist | 3306 Se Wister St, Milwaukie, OR 97222 | 2015-07-01 |
| Find all providers in zip 97222 | ||||
| Taxonomy Code | 2251X0800X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Orthopedic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437631009 | Jeremy K Johnson | Physical Therapist | 10330 Se 32nd Ave Ste 105, Milwaukie, OR 97222-6596 | 2018-08-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578170411 | Mind Body Therapy | Physical Therapist | 11959 Sw Garden Pl, Portland, OR 97223-8249 | 2020-09-24 |
| 1811512320 | Wesley Stoecker | Physical Therapist | 512 Main St., Suite 300, Monmouth, OR 97361 | 2020-06-10 |
| 1629638952 | Alana Vernon | Physical Therapist | 625 N Arrowleaf Trl Bldg G, Sisters, OR 97759-2610 | 2019-06-18 |
| 1992369532 | Mansi S Sabne | Physical Therapist | 2460 Nw Stewart Pkwy Ste 200, Roseburg, OR 97471-1501 | 2019-04-29 |
| 1447813084 | Prokaleo Physical Therapy, LLC | Physical Therapist | 12120 Sw Garden Pl, Tigard, OR 97223-8264 | 2019-04-18 |
| 1376010090 | Meredith Rae Brezinski | Physical Therapist | 18019 Sw Boones Ferry Road, Tigard, OR 97224 | 2018-10-31 |
| 1306324538 | Kristin Connor Messing | Physical Therapist | 4805 Ne Glisan St, Prov Hall 7e06, Portland, OR 97015 | 2018-07-31 |
| 1578041976 | Sheridan Edward Pyeatt | Physical Therapist | 870 S Front St Ste 105, Central Point, OR 97502-2779 | 2018-07-30 |
| 1093204562 | Jessica Hund | Physical Therapist | 9385 Sw Greenburg Rd Ste 100, Portland, OR 97223-3200 | 2018-05-09 |
| 1659899151 | Mariel Hammond | Physical Therapist | 7522 N Lombard St, Portland, OR 97203-3235 | 2017-09-05 |
| Find all providers with the same taxonomy | ||||
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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.