Ms. Jana Lynn Port
Physical Therapy Assistant
11300 Ne Halsey St Suite 102
Portland
, Oregon 97220-2096
Ms. Jana Lynn Port
Physical Therapy Assistant
11300 Ne Halsey St Suite 102
Portland
, Oregon 97220-2096
(503) 239-7523
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About
Features
Specialties
- Physical Therapy Assistant
Languages spoken
- English
Location
First Address
- Ms. Jana Lynn Port
- 4920 Ne Glisan St #416
- Portland, OR
- Zip : 97213-2963
- Phone : (503) 239-7523
Second Address
- Ms. Jana Lynn Port
- 11300 Ne Halsey St Suite 102
- Portland, OR
- Zip : 97220-2096
- Fax : (503) 257-8964
- Phone : (503) 257-9881
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 225200000X | Physical Therapy Assistant | 7673 | OR |
National Provider Identifier
| NPI | 1013939511 |
|---|---|
| Provider Name | Ms. Jana Lynn Port |
| First Address | Portland, OR 97213-2963 |
| Second Address | Portland, OR 97220-2096 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 24/07/2006 |
| Last Update Date | 08/07/2007 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.