Individual provider · Type 1 NPI

Jake Select Douma

Physical Therapy Assistant · Tualatin, OR

NPI number 1508789207 Active

Practice location

19945 SW Boones Ferry Rd
Tualatin, OR 97062-7272

Call (150) 361-2540 Map

Mailing address

4560 SE International Way Ste 100
Portland, OR 97222-4628

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000X10462 (OR)

Physical Therapy Assistant: (1)Physical therapist assistants are skilled health care providers who are graduates of a physical therapist assistant associate degree program accredited by an agency recognized by the Secretary of the U.S. Department of Education or Council on Postsecondary Accreditation, who assists the physical therapist in providing physical therapy. The supervising physical therapist is directly responsible for the actions of …

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About NPI 1508789207

Jake Select Douma's National Provider Identifier is 1508789207, issued on Jul 31, 2026. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Tualatin, OR. The record was last updated on Jul 31, 2026.