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

Individual provider Physical Therapist · NPI 1336972140

Realino L Gurdiel Jr., PT is a Physical Therapist in Beaverton, Oregon. Practices as a sole proprietor. Registered with an NPI since 2024.

In the registry since
2024
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

4900 SW Griffith Dr Ste 261
Beaverton, OR 97005-4648
Phone: (847) 668-4494
Fax: (503) 608-7718
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X

Record details

NPI number1336972140
Entity typeIndividual (Type 1)
GenderMale
Credentials PT
Sole proprietorYes
NPI enumeratedAugust 26, 2024
Last updated in NPPESAugust 26, 2024
Certification dateAugust 26, 2024

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