IndividualActive
Allison Gillock, PTA
NPI 1568975670 · Physical Therapy Assistant · Portland, OR
Provider details
- NPI number
- 1568975670
- Entity type
- Individual
- Primary specialty
- Physical Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- PTA
- Sex
- Female
- Sole proprietor
- No
- License
- 09215 (OR)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
4616 N Albina Ave
Portland, OR 97217-3012
Phone: (503) 335-9980
Approximate (ZIP-level) locationGet directions
Mailing address
4616 N Albina Ave
Portland, OR 97217-3012
Registry dates
- Enumerated
- 2017-11-10
- Last updated
- 2017-11-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.