IndividualActive
Matthew Davis, DPT
NPI 1003625716 · Geriatric Physical Therapist · Portland, OR
Provider details
- NPI number
- 1003625716
- Entity type
- Individual
- Primary specialty
- Geriatric Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- DPT
- Sex
- Male
- Sole proprietor
- Yes
- License
- 61933 (OR)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
9615 Sw 62nd Ave
Portland, OR 97219-4920
Phone: (304) 671-1304
Approximate (ZIP-level) locationGet directions
Mailing address
9615 Sw 62nd Ave
Portland, OR 97219-4920
Registry dates
- Enumerated
- 2025-01-07
- Last updated
- 2025-01-07
- Certified
- 2025-01-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.