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

Randy Dittmar, PT

Individual provider Physical Therapist · NPI 1376142133

Randy Dittmar, PT is a Physical Therapist in Lake Oswego, Oregon. Works from 2 locations. Licensed in Oregon.

Licensed in
OR
In the registry since
2020
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

17550 Provost St Ste 201
Lake Oswego, OR 97034-5199
Phone: (503) 872-2440
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 10120 Sw Park Way, Portland, OR 97225-5008 — (503) 572-7065

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 3916 (OR)

Record details

NPI number1376142133
Entity typeIndividual (Type 1)
GenderMale
Credentials PT
Sole proprietorNo
NPI enumeratedOctober 22, 2020
Last updated in NPPESJanuary 14, 2021
Certification dateJanuary 14, 2021
Mailing addressPo Box 3158, Portland, OR 97208-3158

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