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

Osahon Ogbomo

Individual provider Physical Therapist · NPI 1235636366

Osahon Ogbomo is a Physical Therapist in Private Practice in Portland, Oregon. Qualified in 2017, 9 years ago. Registered with an NPI since 2018.

Years since qualifying
9
In the registry since
2018

Practice location Address checks out

12518 NE Airport Way Ste 110
Portland, OR 97230-1090
Phone: (503) 256-2992
Show map & directions

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

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X

Record details

NPI number1235636366
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 5, 2018
Last updated in NPPESApril 5, 2018

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Accepts Medicare assignment Not indicated

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