Redefining Health | |
13765 Nw Cornell Rd, Suite 150, Portland, OR 97229-5300 | |
(503) 724-1223 | |
(503) 928-5615 |
Full Name | Redefining Health |
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Type | Facility |
Speciality | Physical Therapist |
Location | 13765 Nw Cornell Rd, 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 |
---|---|---|---|
1265774814 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 5134 (Oregon) | Primary |
Provider Name | Stephanie L Magno |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1538279286 PECOS PAC ID: 7416005426 Enrollment ID: I20090501000068 |
Mailing Address | Practice Location Address |
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Redefining Health 13765 Nw Cornell Rd, Suite 150, Portland, OR 97229-5300 Ph: (503) 724-1223 | Redefining Health 13765 Nw Cornell Rd, Suite 150, Portland, OR 97229-5300 Ph: (503) 724-1223 |
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 |