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Search › Oregon › Physical Therapy Assistant

Mark Peacock, PTA

NPI 1982370094 · on the registry since 2021

Practice

Address
6003 Se 136th Ave
Portland, OR 97236
Phone
(971) 978-1268
Organisation at this address
St. Jude Operating Company, Llc
Sapphire At Cedar Crossings, Llc
Gracelen Terrace Managing Company
Foster Creek Operating Company, Llc
Oregon Behavioral Health Solutions, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
14

Registry record

Primary taxonomy
Physical Therapy Assistant
225200000X
Licence states on file
OR
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2021-08-18

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