OrganizationActive
Resilient Runner Health and Wellness LLC
NPI 1639909047 · Physical Therapy Clinic/Center · Portland, OR
Provider details
- NPI number
- 1639909047
- Entity type
- Organization
- Primary specialty
- Physical Therapy Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Jennifer Davis, Owner(503) 482-7234
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(56/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr 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
1260 Se Lambert St Ste 101
Portland, OR 97202-6386
Phone: (503) 482-7234
Fax: (503) 482-7232
Street-level locationGet directions
Mailing address
333 S State St Ste V337
Lake Oswego, OR 97034-3932
Other names (DBA / former)
- Doing business as
- Oregon Running Clinic
Registry dates
- Enumerated
- 2024-08-02
- Last updated
- 2024-08-02
- Certified
- 2024-08-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.