IndividualActive
Trevor Pettigrew, PT, DPT
NPI 1245710847 · Sports Physical Therapist · Portland, OR
Provider details
- NPI number
- 1245710847
- Entity type
- Individual
- Primary specialty
- Sports Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- PT, DPT
- Sex
- Male
- Sole proprietor
- No
- License
- 61193 (OR)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
507 Ne 47th Ave
Portland, OR 97213-2236
Phone: (503) 215-6488
Approximate (ZIP-level) locationGet directions
Mailing address
507 Ne 47th Ave
Portland, OR 97213-2236
Registry dates
- Enumerated
- 2018-08-14
- Last updated
- 2018-08-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.