GREEN HERON PHYSICAL THERAPY LLC
Clinic/Center (Physical Therapy)

Address: 1706 Nw 24th Ave Unit 96034, Portland, OR 97296-6613

GREEN HERON PHYSICAL THERAPY LLC (NPI# 1518558469) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1518558469
Entity Type Organization
Organization Name GREEN HERON PHYSICAL THERAPY LLC
Practice Address 1706 Nw 24th Ave Unit 96034
Portland
OR 97296-6613
Practice Telephone 6617179692
Mailing Address Po Box 96034
Portland
OR 97296-6000
Mailing Telephone 6617179692
Certification Date 2021-01-06
Enumeration Date 2021-02-02
Last Update Date 2021-02-02
Authorized Official Telephone 6617179692
Authorized Official Credential DPT
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification Taxonomy Group License Number License State Taxonomy Group
Y 261QP2000X Clinic/Center
Specialization: Physical Therapy
Ambulatory Health Care Facilities

Office Location

Street Address 1706 NW 24TH AVE UNIT 96034
City PORTLAND
State OR
Zip Code 97296-6613

Providers in the same city

NPI Name Taxonomy Address Enumeration
1033701818 Robert Kevin Taylor Pharmacist · Pharmacotherapy 2320 Lloyd Ctr # 1-045, Portland, OR 97232-1313 2021-02-03
1669063525 Rose and Fern Counseling LLC Clinic/Center · Mental Health (Including Community Mental Health Center) 501 Sw 10th Ave Ste 604, Portland, OR 97205-2701 2021-02-02
1982295937 Emily Van Der Laan Counselor · Mental Health 3519 Ne 15th Ave # 360, Portland, OR 97212-2356 2021-02-02
1841881968 Kelly Krug Massage Therapist 9129 Ne Glisan St, Portland, OR 97220-5865 2021-02-01
1083205074 Alexa Nicole Thavorn I Optometrist 11805 Nw Cedar Falls Dr Ste 105, Portland, OR 97229-2780 2021-02-01
1992396055 Jessica Eden Goetz Doula 2655 Ne Fremont Dr, Portland, OR 97220-5340 2021-02-01
1295326262 David Burnell Counselor 3650 Ne Mallory Ave Apt 101, Portland, OR 97212-3088 2021-02-01
1528659513 Kelly Behm Massage Therapist 1617 Ne 17th Ave, Portland, OR 97232-3561 2021-02-01
1790376838 Amy Katherine Anderson Counselor · Mental Health 75 Congress St, Portland, ME 04101-2094 2021-02-01
1548851884 Sarah Roquemore Registered Nurse 152 Cumberland Ave Apt 2, Portland, ME 04101-6015 2021-01-29
Find all providers in PORTLAND

Taxonomy Information

Taxonomy Code 261QP2000X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Physical Therapy

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1790375244 Superb Physical Therapy and Wellness LLC 16672 Nw Stoller Dr, Portland, OR 97229-7376 2021-01-19
1831793603 Manual Medicine & Rehabilitation Center PC, of Wa 18633 Se Stark St Bldg A, Portland, OR 97233-5468 2020-11-23
1841898632 Spine Strong Physical Therapy and Scoliosis Rehabilitation 251 Danforth St Unit 1, Portland, ME 04102-3705 2020-10-13
1356969976 Readygo Physical Therapy LLC 904 Se 69th Ave, Portland, OR 97215-2120 2020-07-09
1144865841 St. Johns Physical Therapy 8835 N Bradford St, Portland, OR 97203-2869 2019-11-18
1215584446 Patrick Franko Pt LLC 2331 Ne 43rd Ave, Portland, OR 97213-1332 2019-08-22
1487112553 Tabor Pediatric Physical Therapy LLC 2224 Se 53rd Ave, Portland, OR 97215-3916 2019-03-07
1629542675 Helen Quirk Ms Physical Therapy, LLC 10200 Sw Eastridge St Ste 115, Portland, OR 97225-5031 2019-01-13
1063996585 Physioflow 7324 Sw Virginia Ave, Portland, OR 97219-3039 2018-09-20
1477084549 Physio Pdx LLC 2250 Nw Flanders St Ste G1, Portland, OR 97210-3475 2017-03-21
Find all providers in PORTLAND

Competitor

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City PORTLAND
Zip Code 97296

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.