SearchOregonPhysical Therapy Assistant

Corey Phipps-Davisson

NPI 1073990891 · on the registry since 2015 · sole proprietor

Practice

Address
319 Ne Russet St
Portland, OR 97211
Phone
(503) 289-5571
Organisation at this address
Marquis Companies Ii, Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address
7

Registry record

Primary taxonomy
Physical Therapy Assistant
225200000X
Also registered as
Physical Therapy Assistant
Licence states on file
WA, OR
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2015-04-30

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oregon