IndividualActive
Andrew Polenske, PT, DPT, ATC
NPI 1497266993 · Physical Therapist · West Linn, OR
Provider details
- NPI number
- 1497266993
- Entity type
- Individual
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- PT, DPT, ATC
- Sex
- Male
- Sole proprietor
- No
- License
- 2000038059 (OR)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
2020 8th Ave Ste D
West Linn, OR 97068-4657
Phone: (503) 387-5449
Fax: (503) 342-6846
Approximate (ZIP-level) locationGet directions
Mailing address
2020 8th Ave Ste D
West Linn, OR 97068-4657
Registry dates
- Enumerated
- 2017-10-24
- Last updated
- 2023-01-11
- Certified
- 2023-01-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.