Benjamin E Nelson (NPI# 1053353904, PAC ID# 5698704302) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICAL THERAPY.
| Nation Provider ID (NPI) | 1053353904 |
| PAC ID by PECOS | 5698704302 |
| Professional Enrollment ID | I20091209000560 |
| Full Name | Benjamin E Nelson |
| Organization Legal Name | STRIDE STRONG PHYSICAL THERAPY LLC |
| Address |
12849 Nw Cornell Rd Portland OR 97229-5813 |
| Phone Number | 5032086278 |
| Gender | M |
| Credential | PT |
| Graduation Year | 1999 |
| Primary Specialty | PHYSICAL THERAPY |
| Group Practice PAC ID | 9739335712 |
| Number of Group Practice Members | 5 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 12849 Nw Cornell Rd, Portland, OR 97229-5813 | 5032086278 | STRIDE STRONG PHYSICAL THERAPY LLC |
| Organization Legal Name | STRIDE STRONG PHYSICAL THERAPY LLC |
| Physicians | 6 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Andrew Y Lee | Physical Therapy | Stride Strong Physical Therapy LLC | 2350 Ne Griffin Oaks St, Suite 100, Hillsboro, OR 97124-2374 |
| Alice Holland | Physical Therapy | Stride Strong Physical Therapy LLC | 12849 Nw Cornell Rd, Portland, OR 97229-5813 |
| Brian T Blevins | Physical Therapy | Stride Strong Physical Therapy LLC | 12849 Nw Cornell Rd, Portland, OR 97229-5813 |
| Katherine W Finn | Physical Therapy | Stride Strong Physical Therapy LLC | 12849 Nw Cornell Rd, Portland, OR 97229-5813 |
| John Paul M Fairhart | Physical Therapy | Stride Strong Physical Therapy LLC | 12849 Nw Cornell Rd, Portland, OR 97229-5813 |
| Street Address |
12849 NW CORNELL RD |
| City | PORTLAND |
| State | OR |
| Zip | 97229-5813 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Alice Holland | Physical Therapy | Stride Strong Physical Therapy LLC | 12849 Nw Cornell Rd, Portland, OR 97229-5813 |
| Brian T Blevins | Physical Therapy | Stride Strong Physical Therapy LLC | 12849 Nw Cornell Rd, Portland, OR 97229-5813 |
| Katherine W Finn | Physical Therapy | Stride Strong Physical Therapy LLC | 12849 Nw Cornell Rd, Portland, OR 97229-5813 |
| John Paul M Fairhart | Physical Therapy | Stride Strong Physical Therapy LLC | 12849 Nw Cornell Rd, Portland, OR 97229-5813 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Aimee Oreilly | Physical Therapy | Premere Rehab LLC | 15850 Nw Central Dr, Laurel Parc, Portland, OR 97229-1101 |
| Ricci Susick | Physical Therapy | Premere Rehab LLC | 15850 Nw Central Dr, Portland, OR 97229-1101 |
| Cynthia M Whitaker | Speech Language Pathologist | Premere Rehab LLC | 15850 Nw Central Dr, Laurel Parc, Portland, OR 97229-1101 |
| Rebecca D Dorsey | Nurse Practitioner | 16986 Nw Lynch Ln, Portland, OR 97229-1221 | |
| Bernard P Conway | Optometry | 11805 Nw Cedar Falls Dr, Suite 105, Portland, OR 97229-2780 | |
| Andrea R Kwiecien | Optometry | Bernard P Conway Od PC | 11805 Nw Cedar Falls Dr, Suite 105, Portland, OR 97229-2780 |
| Anissa Rogers | Clinical Social Worker | 3220 Nw 185th Ave, Suite 100, Portland, OR 97229-3492 | |
| Dong L Ji | Family Medicine | Providence Health and Services Oregon | 15640 Nw Laidlaw Rd, Portland, OR 97229-3828 |
| Robin Y Grattan | Family Medicine | Providence Health and Services Oregon | 15640 Nw Laidlaw Rd, Pmg/bethany, Portland, OR 97229-3828 |
| Lori F Gluck | Family Medicine | Providence Health and Services Oregon | 15640 Nw Laidlaw Rd, Portland, OR 97229-3828 |
| Find all physicians in zip 97229 | |||
| City | PORTLAND |
| Zip Code | 97229 |
| Specialty | PHYSICAL THERAPY |
| City + Specialty | PORTLAND + PHYSICAL THERAPY |
Please comment or provide details below to improve the information on Benjamin E Nelson.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.