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

Individual provider Physical Therapist · NPI 1487638250

Jennifer Lynn Russell Tostenrud, PHYSICALTHERAPIST is a Physical Therapist in Private Practice in Portland, Oregon. Qualified in 2004, 22 years ago. Practices with Therapeutic Associates Inc, a 322-clinician group and accepts Medicare assignment. Licensed in Colorado, Oregon and Washington.

Years since qualifying
22
Licensed in
CO, OR, WA
In the registry since
2005
Specialties on file
3
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Practice location Address checks out

10215 SW Park Way Ste D
Portland, OR 97225-5036
Phone: (503) 292-3583
Fax: (503) 292-1022
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence PT 60671 (OR)
Physical Therapist Taxonomy 225100000X · Licence 8717 (CO)
Physical Therapist Taxonomy 225100000X · Licence PT00009657 (WA)

Record details

NPI number1487638250
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHYSICALTHERAPIST
Sole proprietorNo
NPI enumeratedDecember 5, 2005
Last updated in NPPESFebruary 13, 2015

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2004 (22 years in practice)
Group practice Therapeutic Associates Inc — 322 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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