Miranda Physical Therapy P.c. | |
10151 Se Sunnyside Rd Ste 310, Clackamas, OR 97015-6913 | |
(503) 496-1058 | |
(888) 675-5282 |
Full Name | Miranda Physical Therapy P.c. |
---|---|
Type | Facility |
Speciality | Physical Therapist - Orthopedic |
Location | 10151 Se Sunnyside Rd Ste 310, 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 |
---|---|---|---|
1134363708 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2251X0800X | Physical Therapist - Orthopedic | 5547 (Oregon) | Primary |
Provider Name | Jesus C Miranda |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1639359961 PECOS PAC ID: 0749322758 Enrollment ID: I20100128000423 |
Mailing Address | Practice Location Address |
---|---|
Miranda Physical Therapy P.c. 10151 Se Sunnyside Rd Ste 310, Clackamas, OR 97015-6913 Ph: (503) 496-1058 | Miranda Physical Therapy P.c. 10151 Se Sunnyside Rd Ste 310, Clackamas, OR 97015-6913 Ph: (503) 496-1058 |
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 |