Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JONATHAN REX GUSTAVSON, MSPT
ActiveJONATHAN REX GUSTAVSON, MSPT is a Physical Therapy Assistant healthcare provider located in PORTLAND, Oregon. NPI 1003007808 is currently active in the NPPES registry. Verify at CMS.
Physical Therapy Assistant · PORTLAND, OR
Registration Details
- NPI Number
- 1003007808
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 6, 2007 (18.980459459748 yrs)
- Last Updated
- Dec 30, 2021
- License
-
4932 (OR)
Practice Information
- Address
-
3426 NE 62ND AVEPORTLAND, OR, 972133953Browse OR providers · Browse ZIP 97213
- Phone
- 5033123443
- Primary Specialty
-
Physical Therapy Assistant
225100000X
Other Physical Therapy Assistant Providers in PORTLAND, OR
| Name | Credential | NPI |
|---|---|---|
| MRS. JONI M. FISCHER-JONES | P.T | 1467459537 |
| MRS. SUZANNE M TREBNICK | P.T. | 1417954561 |
| MR. PATRICK C. PUA | P.T. | 1699772764 |
| MRS. NANCY UNGOCO | PT | 1780683318 |
| MR. LEO FRANCIS QUINN JR. | PT | 1245230952 |
| MR. JAMES ROBERT WEGGENMAN | PT | 1134129703 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.