OrganizationActive
Clackamas Sportscare LLC
NPI 1689702722 · Physical Therapist · Clackamas, OR
Provider details
- NPI number
- 1689702722
- Entity type
- Organization
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Organization subpart
- No
- Authorized official
- Ethan Collier, Doctor Physical Therapy Director(503) 794-0103
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs 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
10121 Se Sunnyside Rd
Suite 208
Clackamas, OR 97015-5750
Phone: (503) 794-0103
Fax: (503) 794-0104
Street-level locationGet directions
Mailing address
10121 Se Sunnyside Rd
Clackamas, OR 97015-5750
Registry dates
- Enumerated
- 2007-03-01
- Last updated
- 2015-07-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.