NPI 1073990891

Corey Phipps-Davisson

Practitioner Physical Therapy Assistant Portland, OR

Practice location

Address: 319 NE Russet St, Portland, OR 97211-2815
Phone: (503) 289-5571
Mailing address: 2003 SW 6th St, Battle Ground, WA 98604-3016

Registered specialties (2)

Physical Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225200000X Licence 09165 (OR)

Other Physical Therapy Assistant providers in Oregon →

Physical Therapy Assistant

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225200000X Licence P160548479 (WA)

Registry record

NPI: 1073990891
Entity type: Individual
Sex (as registered): Male
NPI issued: 30 Apr 2015
Record last updated: 30 Apr 2015

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.