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

Individual provider Physical Therapist · NPI 1083015804

MS. Brietta Lise Kubak, DPT is a Physical Therapist in Portland, Oregon. Practices as a sole proprietor. Licensed in Oregon.

Licensed in
OR
In the registry since
2014
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

1630 SW Morrison St
Portland, OR 97205-1916
Phone: (503) 227-7774
Fax: (503) 227-7548
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 60791 (OR)

Record details

NPI number1083015804
Entity typeIndividual (Type 1)
GenderFemale
Credentials DPT
Sole proprietorYes
NPI enumeratedSeptember 11, 2014
Last updated in NPPESFebruary 20, 2018

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