| Ethan Collier, | |
|
10121 Se Sunnyside Rd, Suite 208, Clackamas, OR 97015-5745 | |
| (503) 794-0103 | |
| (503) 794-0104 |
| Full Name | Ethan Collier |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist In Private Practice |
| Experience | 24 Years |
| Location | 10121 Se Sunnyside Rd, Clackamas, Oregon |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740365238 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | (* (Not Available)) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Sportscare Physical Therapy @ Cornell, Llc | 7517115579 | 35 |
| Provider Name | Clackamas Sportscare Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1689702722 PECOS PAC ID: 2264476431 Enrollment ID: O20050621000571 |
| Provider Name | Sportscare Physical Therapy @ Cornell, Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1649534793 PECOS PAC ID: 7517115579 Enrollment ID: O20120917000315 |
| Provider Name | Kinetix Physical Therapy Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1760123764 PECOS PAC ID: 0941675110 Enrollment ID: O20230331002663 |
| Mailing Address | Practice Location Address |
|---|---|
| Ethan Collier, 10121 Se Sunnyside Rd, Suite 208, Clackamas, OR 97015-5745 Ph: () - | Ethan Collier, 10121 Se Sunnyside Rd, Suite 208, Clackamas, OR 97015-5745 Ph: (503) 794-0103 |
Brent Hammack, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 10180 Se Sunnyside Rd, Clackamas, OR 97015 Phone: 503-813-2000 | |
Richard Bandy, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 11977 Se Sunnyside Rd, Clackamas, OR 97015 Phone: 503-486-6944 | |
Kelly Elizabeth Jackson, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 10100 Se Sunnyside Rd, Clackamas, OR 97015 Phone: 503-813-2000 | |
Ashlee Baltich, PT, DPT Physical Therapist Medicare: May Accept Medicare Assignments Practice Location: 9290 Se Sunnybrook Blvd Ste 230, Clackamas, OR 97015 Phone: 503-215-2180 | |
Abby Duval Grabowski, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 9290 Se Sunnybrook Blvd Ste 120, Clackamas, OR 97015 Phone: 502-215-2110 | |
Dr. Alain Denis Machtelinckx, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 10180 Se Sunnyside Rd, Clackamas, OR 97015 Phone: 503-571-6614 | |
Sonja Creel, MPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 9290 Se Sunnybrook Blvd Ste 230, Clackamas, OR 97015 Phone: 503-215-2085 Fax: 503-215-2185 |