Jonathan Rex Gustavson, MSPT
Jonathan Rex Gustavson, MSPT is a Physical Therapist in Portland, Oregon. Licensed in Oregon. Registered with an NPI since 2007.
- Licensed in
- OR
- In the registry since
- 2007
Practice location Address checks out
3426 NE 62nd AvePortland, OR 97213-3953
Phone: (503) 312-3443
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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 4932 (OR) |
|---|
Record details
| NPI number | 1003007808 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | MSPT |
| Sole proprietor | No |
| NPI enumerated | August 6, 2007 |
| Last updated in NPPES | December 30, 2021 |
| Certification date | December 30, 2021 |
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