IndividualActive
Benjamin Nelson, MSPT, OCS
NPI 1053353904 · Orthopedic Physical Therapist · Portland, OR
Provider details
- NPI number
- 1053353904
- Entity type
- Individual
- Primary specialty
- Orthopedic Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- MSPT, OCS
- Sex
- Male
- Sole proprietor
- No
- License
- PT00009802 (WA)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
4445 Sw Barbur Blvd Ste 204
Portland, OR 97239-4047
Phone: (503) 235-3386
Approximate (ZIP-level) locationGet directions
Mailing address
12849 Nw Cornell Rd
Portland, OR 97229-5813
Registry dates
- Enumerated
- 2006-06-12
- Last updated
- 2017-04-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.