IndividualActive
Michelle Fogg, PT
NPI 1083019863 · Physical Therapist · Lake Oswego, OR
Provider details
- NPI number
- 1083019863
- Entity type
- Individual
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- PT
- Sex
- Female
- Sole proprietor
- No
- License
- 6204 (OR)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
Detailed profile(75/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
4500 Kruse Way Suite 310
Lake Oswego, OR 97035
Phone: (503) 620-3407
Street-level locationGet directions
Mailing address
8546 Sw 160th Ave
Beaverton, OR 97007
Registry dates
- Enumerated
- 2014-10-23
- Last updated
- 2014-10-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.