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

Mr. Derek Nathan Fenwick, PHYSICALTHERAPIST

Individual provider Physical Therapist · NPI 1790875102

Mr. Derek Nathan Fenwick, PHYSICALTHERAPIST is a Physical Therapist in Milwaukie, Oregon. Licensed in Missouri and Oregon. Registered with an NPI since 2006.

Licensed in
MO, OR
In the registry since
2006
Specialties on file
2

Practice location Address checks out

4560 SE International Way Consonus Rehab Services
Milwaukie, OR 97222
Phone: (971) 206-5140
Fax: (971) 206-5209
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 4696 (OR)
Physical Therapist Taxonomy 225100000X · Licence 2003005737 (MO)

Record details

NPI number1790875102
Entity typeIndividual (Type 1)
GenderMale
Credentials PHYSICALTHERAPIST
Sole proprietorNo
NPI enumeratedOctober 14, 2006
Last updated in NPPESJuly 8, 2007

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