| Clackamas Sportscare Llc | |
|
10121 Se Sunnyside Rd, Suite 208, Clackamas, OR 97015-5750 | |
| (503) 794-0103 | |
| (503) 794-0104 |
| Full Name | Clackamas Sportscare Llc |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 10121 Se Sunnyside Rd, Clackamas, Oregon |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689702722 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | (* (Not Available)) | Primary |
| Provider Name | Ethan B Collier |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1740365238 PECOS PAC ID: 6800830076 Enrollment ID: I20050617000776 |
| Provider Name | Jacob A Schneller |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1427439843 PECOS PAC ID: 3072829290 Enrollment ID: I20150903000058 |
| Provider Name | Kevin G Eischen |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1821543075 PECOS PAC ID: 2860777802 Enrollment ID: I20170314001402 |
| Provider Name | Gaelen Glen Watt |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1124412366 PECOS PAC ID: 9537592936 Enrollment ID: I20191125001605 |
| Provider Name | Shannon R Lee |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1841772407 PECOS PAC ID: 9931453529 Enrollment ID: I20201111002954 |
| Provider Name | Clyde James Allen Weber |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1497433700 PECOS PAC ID: 1254788052 Enrollment ID: I20231116001262 |
| Mailing Address | Practice Location Address |
|---|---|
| Clackamas Sportscare Llc 10121 Se Sunnyside Rd, Suite 208, Clackamas, OR 97015-5750 Ph: (503) 794-0103 | Clackamas Sportscare Llc 10121 Se Sunnyside Rd, Suite 208, Clackamas, OR 97015-5750 Ph: (503) 794-0103 |
Richard Bandy, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 11977 Se Sunnyside Rd, Clackamas, OR 97015 Phone: 503-486-6944 | |
Kelly Elizabeth Newman, 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: Not Enrolled in Medicare 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 | |
Miranda Physical Therapy P.c. Physical Therapist Medicare: Medicare Enrolled Practice Location: 10151 Se Sunnyside Rd Ste 310, Clackamas, OR 97015 Phone: 503-496-1058 Fax: 888-675-5282 |