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

Mary Dicicco

Individual provider Physical Therapy Assistant · NPI 1972975993

Mary Dicicco is a Physical Therapy Assistant in Wilsonville, Oregon. Licensed in Oregon. Registered with an NPI since 2015.

Licensed in
OR
In the registry since
2015

Practice location Address checks out

25117 SW Parkway Ave
Wilsonville, OR 97070-9697
Phone: (503) 570-3665
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 09213 (OR)

Record details

NPI number1972975993
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedOctober 29, 2015
Last updated in NPPESOctober 29, 2015
Mailing address1742 Se Marion St, Portland, OR 97202-7350

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