Healthcare Provider Details

I. General information

NPI: 1265367189
Provider Name (Legal Business Name): KATRINA CHEN PT, DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/13/2026
Last Update Date: 06/13/2026
Certification Date: 06/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3905 SW 117TH AVE STE A
BEAVERTON OR
97005-8905
US

IV. Provider business mailing address

1050 SW 160TH AVE APT 324
BEAVERTON OR
97006-5016
US

V. Phone/Fax

Practice location:
  • Phone: 971-249-3168
  • Fax:
Mailing address:
  • Phone: 612-655-8881
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number66133
License Number StateOR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: