Healthcare Provider Details

I. General information

NPI: 1285525998
Provider Name (Legal Business Name): TIMBER AND IRON PHYSICAL THERAPY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/10/2025
Last Update Date: 07/10/2025
Certification Date: 07/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10729 SE 82ND AVE
HAPPY VALLEY OR
97086-7601
US

IV. Provider business mailing address

5441 S MACADAM AVE STE 8128
PORTLAND OR
97239-6106
US

V. Phone/Fax

Practice location:
  • Phone: 503-567-4035
  • Fax:
Mailing address:
  • Phone: 503-567-4035
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: RYAN D ECKERT
Title or Position: PHYSICAL THERAPIST
Credential: PT, DPT
Phone: 916-300-2063