Elissa Andresen
Physical Therapy Assistant in Portland, OR. Individual provider (NPI-1).
NPI number1306269113
StatusActive
Last updated in NPPESJan 29, 2014
Details
- NPI
- 1306269113
- Entity type
- Individual (NPI-1)
- Name
- Elissa Andresen
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jan 29, 2014
- Last updated
- Jan 29, 2014
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225200000X | Physical Therapy Assistant | 08823 | OR | Yes |
Practice location
3320 Se Holgate BlvdPortland, OR 97202-3459
Phone 503-231-1411
Mailing address
8700 Ne Thompson StPortland, OR 97220-5471
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other Physical Therapy Assistant providers in Portland, OR
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All 143 Physical Therapy Assistant providers in Portland · All 48,847 providers in Portland
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