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

Michael Mulligan, PTA

Individual provider Physical Therapy Assistant · NPI 1104139229

Michael Mulligan, PTA is a Physical Therapy Assistant in Beaverton, Oregon. Licensed in Oregon. Registered with an NPI since 2010.

Licensed in
OR
In the registry since
2010
What do these letters mean?
PTA — Physical Therapist Assistant
Delivers treatment under a physical therapist's direction.

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Practice location Address checks out

4855 SW Western Ave
Beaverton, OR 97005-3460
Phone: (503) 526-7449
Fax: (503) 277-1365
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence 8670 (OR)

Record details

NPI number1104139229
Entity typeIndividual (Type 1)
GenderMale
Credentials PTA
Sole proprietorNo
NPI enumeratedJuly 18, 2010
Last updated in NPPESJuly 18, 2010
Mailing address4855 Sw Western Ave, Beaverton, OR 97005-3460

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