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

Eleanor B Debakker, PT

Individual provider Physical Therapist · NPI 1831669191

Eleanor B Debakker, PT is a Physical Therapist in Private Practice in Lake Oswego, Oregon. Qualified in 2018, 8 years ago. Works from 2 locations. Licensed in Oregon.

Years since qualifying
8
Licensed in
OR
In the registry since
2018
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

17550 Provost St Ste 201
Lake Oswego, OR 97034-5199
Phone: (503) 872-2440
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 440 1st St, Lake Oswego, OR 97034-3123 — (503) 744-4826

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 63036 (OR)

Record details

NPI number1831669191
Entity typeIndividual (Type 1)
GenderFemale
Credentials PT
Sole proprietorNo
NPI enumeratedNovember 29, 2018
Last updated in NPPESAugust 11, 2023
Certification dateAugust 11, 2023
Mailing addressPo Box 3158, Portland, OR 97208-3158

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Accepts Medicare assignment Not indicated

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