| Providence Gorge Spine And Sports Medicine | |
|
4400 Ne Halsey St Bldg 2, Portland, OR 97213-1545 | |
| (425) 528-0543 | |
| Not Available |
| Full Name | Providence Gorge Spine And Sports Medicine |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 4400 Ne Halsey St Bldg 2, Portland, Oregon |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609274133 | NPI | - | NPPES |
| Mailing Address | Practice Location Address |
|---|---|
| Providence Gorge Spine And Sports Medicine Po Box 3158, Portland, OR 97208-3158 Ph: () - | Providence Gorge Spine And Sports Medicine 4400 Ne Halsey St Bldg 2, Portland, OR 97213-1545 Ph: (425) 528-0543 |
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 | |
Brian Carper, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 300 N Graham St Ste 430, Portland, OR 97227 Phone: 503-413-1500 |