IndividualActive
Brian Ta, PT
NPI 1689390973 · Orthopedic Physical Therapist · Portland, OR
Provider details
- NPI number
- 1689390973
- Entity type
- Individual
- Primary specialty
- Orthopedic Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- PT
- Sex
- Male
- Sole proprietor
- No
- License
- 63951 (OR)
Practice location
1215 Se 8th Ave Ste D
Portland, OR 97214-3497
Phone: (503) 248-0360
Fax: (503) 200-1148
Mailing address
1215 Se 8th Ave Ste D
Portland, OR 97214-3497
Registry dates
- Enumerated
- 2022-10-18
- Last updated
- 2022-10-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.