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

JODIE MARIKO MIYAMOTO, DPT

Active

JODIE MARIKO MIYAMOTO, DPT is a Physical Therapy Assistant healthcare provider located in PORTLAND, Oregon. NPI 1689279671 is currently active in the NPPES registry. Verify at CMS.

Physical Therapy Assistant · PORTLAND, OR

Registration Details

NPI Number
1689279671
Provider Type
Individual
Gender
Female
NPI Issued
Nov 30, 2020 (5.7172804490425 yrs)
Last Updated
Nov 30, 2020
Licenses
61099152 (WA)
63894 (OR)

Practice Information

Address
5330 NE PRESCOTT ST
PORTLAND, OR, 972182158
Browse OR providers · Browse ZIP 97218
Phone
5032886585
Primary Specialty
Physical Therapy Assistant
225100000X
Additional Specialty
Physical Therapy Assistant

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.