| Root & Branch Integrative Fitness | |
|
1235 Se Grand Ave, Portland, OR 97214-3435 | |
| (503) 577-0318 | |
| (503) 710-9221 |
| Full Name | Root & Branch Integrative Fitness |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 1235 Se Grand Ave, Portland, Oregon |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215490347 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | (* (Not Available)) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Root & Branch Integrative Fitness 12575 Sw Douglas St, Portland, OR 97225-4539 Ph: (503) 577-0318 | Root & Branch Integrative Fitness 1235 Se Grand Ave, Portland, OR 97214-3435 Ph: (503) 577-0318 |
Jonathan Rex Gustavson, MSPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3426 Ne 62nd Ave, Portland, OR 97213 Phone: 503-312-3443 | |
Ms. Ruth A Hurst, P.T., G.C.F.P. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 7721 Sw 34th Ave, Portland, OR 97219 Phone: 503-452-7767 | |
Ms. Molly Anne Bredenberg, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 5050 Ne Hoyt St, Portland, OR 97213 Phone: 503-215-0424 | |
David Genco Jr., DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 319 Ne Russet St, Portland, OR 97211 Phone: 503-289-5571 | |
Jenna Valentine, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 9204 Se Mitchell St, Portland, OR 97266 Phone: 503-777-6746 | |
Ariel Witkin, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1515 Nw 18th Ave Ste 400, Portland, OR 97209 Phone: 503-228-1306 Fax: 503-228-1307 | |
Olivia Aho, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2808 E Burnside St, Portland, OR 97214 Phone: 503-447-4802 |