OrganizationActive
New Leaf Physical and Massage Therapy, LLC
NPI 1003135658 · Physical Medicine & Rehabilitation Physician · Portland, OR
Provider details
- NPI number
- 1003135658
- Entity type
- Organization
- Primary specialty
- Physical Medicine & Rehabilitation PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Mary Gramling, President(503) 318-0654
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
4050 Ne Broadway St
Portland, OR 97232-1828
Phone: (503) 318-0654
Approximate (ZIP-level) locationGet directions
Mailing address
2734 Se 47th Ave
Portland, OR 97206-1547
Registry dates
- Enumerated
- 2010-05-21
- Last updated
- 2010-06-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.