Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Childrens Intensive Therapy Northwest

Organization Pediatric Physical Therapist · NPI 1477886232

Childrens Intensive Therapy Northwest is a Pediatric Physical Therapist in Portland, Oregon. Licensed in Oregon. Registered with an NPI since 2009.

Licensed in
OR
In the registry since
2009
Specialties on file
2

Practice location Address checks out

7203 SE Raymond St
Portland, OR 97206-4323
Phone: (503) 895-1320
Fax: (503) 296-2319
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Physical Therapist (primary) Taxonomy 2251P0200X · Licence 4970 (OR)
Pediatric Physical Therapist Taxonomy 2251P0200X · Licence 5680 (OR)

Record details

NPI number1477886232
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Darren Brault — Owner · (971) 570-5043
NPI enumeratedSeptember 11, 2009
Last updated in NPPESJuly 17, 2013
Mailing address12948 Se Winston Rd, Damascus, OR 97089-7606

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