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

Individual provider Physical Therapy Assistant · NPI 1659578557

Mike Stuart Davis, PTA is a Physical Therapy Assistant in Portland, Oregon. Practices as a sole proprietor. Licensed in Montana and Oregon.

Licensed in
MT, OR
In the registry since
2007
Specialties on file
2
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

5415 SW Westgate Dr Ste L3
Portland, OR 97221-2409
Phone: (503) 297-3003
Fax: (503) 297-9414
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Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence 8463 (OR)
Physical Therapy Assistant Taxonomy 225200000X · Licence 1353 (MT)

Record details

NPI number1659578557
Entity typeIndividual (Type 1)
GenderMale
Credentials PTA
Sole proprietorYes
NPI enumeratedJuly 3, 2007
Last updated in NPPESJuly 8, 2007
Mailing address1102 Ryan Ct, West Linn, OR 97068-4034

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