Organization · Type 2 NPI

Providence Health & Services - Oregon

Physical Therapist · Vancouver, WA

NPI number 1104109677 Active

Practice location

3101 SE 192nd Ave, Suite 104
Vancouver, WA 98683-1442

Fax (360) 553-7485

Mailing address

PO Box 3395
Portland, OR 97208-3395

Specialties and licenses

TaxonomyCodeLicense
Physical Therapist Primary 225100000XNone listed
Occupational Therapist 225X00000XNone listed
Speech-Language Pathologist 235Z00000XNone listed

Physical Therapist: Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, r…

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About NPI 1104109677

Providence Health & Services - Oregon's National Provider Identifier is 1104109677, issued on Sep 21, 2011. The primary taxonomy on file is Physical Therapist (225100000X), and the practice location is in Vancouver, WA. The record was last updated on May 14, 2025.