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

Corey Phipps-Davisson

Individual provider Physical Therapy Assistant · NPI 1073990891

Corey Phipps-Davisson is a Physical Therapy Assistant in Portland, Oregon. Practices as a sole proprietor. Licensed in Oregon and Washington.

Licensed in
OR, WA
In the registry since
2015
Specialties on file
2

Practice location Address checks out

319 NE Russet St
Portland, OR 97211-2815
Phone: (503) 289-5571
Show map & directions

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

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence 09165 (OR)
Physical Therapy Assistant Taxonomy 225200000X · Licence P160548479 (WA)

Record details

NPI number1073990891
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedApril 30, 2015
Last updated in NPPESApril 30, 2015

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