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Mark Kevin Gumtang, PT, DPT — NPI 1801463831, Portland, OR | NPI Central

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NPI 1801463831

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Mark Kevin Gumtang, PT, DPT

NPI 1801463831 · Physical Therapist · Portland, OR

Provider details

NPI number: 1801463831
Entity type: Individual
Primary specialty: Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Credential: PT, DPT
Sex: Male
Sole proprietor: Yes
License: 64108 (OR)

Specialties & taxonomies

Physical TherapistPrimary225100000XLicense 64108 (OR)
Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Practice location

2512 Se 109th Ave

Portland, OR 97266-1215

Phone: (503) 388-3755

Approximate (ZIP-level) locationGet directions

More OR providers

Mailing address

7067 Se Blanton St Apt 5304

Hillsboro, OR 97123-2701

Additional practice locations (1)

2130 Se 96th Ave
Portland, OR 97216-2603
Phone: (503) 261-7121

Registry dates

Enumerated: 2021-06-08
Last updated: 2021-06-08
Certified: 2021-06-08

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.