| Tigard Physical Therapy Inc | |
|
12700 Sw Pacific Hwy, Portland, OR 97223-6136 | |
| (503) 753-1537 | |
| (503) 573-8004 |
| Full Name | Tigard Physical Therapy Inc |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 12700 Sw Pacific Hwy, 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 |
|---|---|---|---|
| 1669449153 | NPI | - | NPPES |
| Provider Name | Lynne R Marshall Brook |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1134196694 PECOS PAC ID: 3375520596 Enrollment ID: I20040713000256 |
| Provider Name | Jessica Steele-thornborrow |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1043699077 PECOS PAC ID: 7113363961 Enrollment ID: I20240314002815 |
| Provider Name | Miranda Rose Paasche |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1043785876 PECOS PAC ID: 2668716366 Enrollment ID: I20240827004533 |
| Mailing Address | Practice Location Address |
|---|---|
| Tigard Physical Therapy Inc Po Box 3728, Tualatin, OR 97062-3728 Ph: (503) 753-1537 | Tigard Physical Therapy Inc 12700 Sw Pacific Hwy, Portland, OR 97223-6136 Ph: (503) 753-1537 |
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 | |
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 | |
Brian Carper, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 300 N Graham St Ste 430, Portland, OR 97227 Phone: 503-413-1500 | |
Lane Williams, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 11782 Sw Barnes Rd, Portland, OR 97225 Phone: 503-906-4323 Fax: 503-906-4333 |