| Mitchell Physical Therapy Inc | |
|
5212 Se 52nd Ave, Portland, OR 97206-5629 | |
| (503) 777-1983 | |
| Not Available |
| Full Name | Mitchell Physical Therapy Inc |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 5212 Se 52nd Ave, Portland, Oregon |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073657391 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 1766 (Oregon) | Primary |
| Provider Name | Stephen A Mitchell |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1538197991 PECOS PAC ID: 4789665258 Enrollment ID: I20050630000232 |
| Provider Name | Tarah S Hoelter |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1548492143 PECOS PAC ID: 1850447343 Enrollment ID: I20090924000665 |
| Provider Name | Duncan T Mitchell |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1114335403 PECOS PAC ID: 3173840402 Enrollment ID: I20160909000855 |
| Provider Name | Brenden D Thompson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1104300656 PECOS PAC ID: 1355777590 Enrollment ID: I20200205002868 |
| Provider Name | Haley Faye Lafleur |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1881049922 PECOS PAC ID: 4486947926 Enrollment ID: I20230105000525 |
| Mailing Address | Practice Location Address |
|---|---|
| Mitchell Physical Therapy Inc 5212 Se 52nd Ave, Portland, OR 97206-5629 Ph: (503) 777-1983 | Mitchell Physical Therapy Inc 5212 Se 52nd Ave, Portland, OR 97206-5629 Ph: (503) 777-1983 |
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 |