DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MS. BRIETTA LISE KUBAK, DPT

Active Sole Proprietor

MS. BRIETTA LISE KUBAK, DPT is a Physical Therapy Assistant healthcare provider located in PORTLAND, Oregon. NPI 1083015804 is currently active in the NPPES registry. Verify at CMS.

Physical Therapy Assistant · PORTLAND, OR

Registration Details

NPI Number
1083015804
Provider Type
Individual
Gender
Female
NPI Issued
Sep 11, 2014 (11.917306636781 yrs)
Last Updated
Feb 20, 2018
License
60791 (OR)
Sole Proprietor
Yes

Practice Information

Address
1630 SW MORRISON ST
PORTLAND, OR, 972051916
Browse OR providers · Browse ZIP 97205
Phone
5032277774
Fax
5032277548
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.