NPI 1023664943

Rachel Cisco, PTA

Practitioner Physical Therapy Assistant Lake Oswego, OR

Practice location

Address: 4550 Carman Dr, Lake Oswego, OR 97035-2520
Phone: (503) 675-6055
Mailing address: 3736 SW 10th Ave APT 2, Portland, OR 97239-2992

Registered specialties

Physical Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225200000X Licence 09784 (OR)

Other Physical Therapy Assistant providers in Oregon →

Registry record

NPI: 1023664943
Entity type: Individual
Sex (as registered): Female
NPI issued: 15 Aug 2019
Record last updated: 15 Aug 2019

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.