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NPI Code Detail

MEDICARE: HEATHER N PORITZ PT, DPT

MEDICARE: HEATHER N PORITZ PT, DPT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical Therapist62990OR

General Provider Information

NPI Number : 1104301449
Entity Type Code : Individual
Provider Name (Legal Business Name) : HEATHER N PORITZ PT, DPT
Provider Business Mailing Address
First Line : 1511 DIVISION ST STE 201A
Second Line :
City : OREGON CITY
State : OR
Zip : 97045-1589
Country : US
Telephone Number : 503-657-6747
Fax Number :
Provider Business Practice Location Address
First Line : 1511 DIVISION ST STE 201A
Second Line :
City : OREGON CITY
State : OR
Zip : 97045-1589
Country : US
Telephone Number : 503-657-6747
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/02/2018
Last Update Date : 03/17/2026

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Directions to “ HEATHER N PORITZ PT, DPT” Practice Location

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