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

Mrs. Holly Marie Provost, PHYSICALTHERAPIST

Individual provider Physical Therapist · NPI 1609910389

Mrs. Holly Marie Provost, PHYSICALTHERAPIST is a Physical Therapist in Milwaukie, Oregon. Licensed in Oregon. Registered with an NPI since 2007.

Licensed in
OR
In the registry since
2007

Practice location Address checks out

4560 SE International Way Milwaukie
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 5083 (OR)

Record details

NPI number1609910389
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHYSICALTHERAPIST
Sole proprietorNo
NPI enumeratedFebruary 16, 2007
Last updated in NPPESJuly 8, 2007

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