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

Pacific Neuro Therapy

Organization Physical Therapist · NPI 1316394083

Pacific Neuro Therapy is a Physical Therapist in Tigard, Oregon. Registered with an NPI since 2016.

In the registry since
2016
Specialties on file
2

Practice location Address checks out

11105 SW Greenburg Rd
Tigard, OR 97223-5446
Phone: (971) 294-2669
Fax: (503) 746-6609
Show map & directions

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

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X
Physical Therapy Clinic/Center Taxonomy 261QP2000X

Record details

NPI number1316394083
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kellen Mastrud — Co-Owner & President · (971) 294-2669
Other names Apex Performance Wellness & Rehab
NPI enumeratedMay 23, 2016
Last updated in NPPESOctober 3, 2022
Certification dateOctober 3, 2022
Mailing address11105 Sw Greenburg Rd, Tigard, OR 97223-5446

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