IndividualActive
Mary Jane Ewing, PT
NPI 1861694648 · Sports Physical Therapist · Portland, OR
Provider details
- NPI number
- 1861694648
- Entity type
- Individual
- Primary specialty
- Sports Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- PT
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
5149 Sw 26th Dr
Portland, OR 97239-1230
Phone: (503) 314-1827
Approximate (ZIP-level) locationGet directions
Mailing address
5149 Sw 26th Drive
Portland, OR 97239
Registry dates
- Enumerated
- 2007-06-04
- Last updated
- 2009-12-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.