NPI 1013939511

Jana Lynn Port, PTA

Practitioner Physical Therapy Assistant Portland, OR

Practice location

Address: 11300 NE Halsey St Suite 102, Portland, OR 97220-2096
Phone: (503) 257-9881
Fax: (503) 257-8964
Mailing address: 4920 NE Glisan St #416, Portland, OR 97213-2963

Registered specialties

Physical Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225200000X Licence 7673 (OR)

Other Physical Therapy Assistant providers in Oregon →

Registry record

NPI: 1013939511
Entity type: Individual
Sex (as registered): Female
NPI issued: 24 Jul 2006
Record last updated: 8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.