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

Michael Mulligan, PTA

Individual provider Physical Therapy Assistant · NPI 1104139229

Michael Mulligan, PTA is a Physical Therapy Assistant in Beaverton, Oregon. Licensed in Oregon. Registered with an NPI since 2010.

Licensed in
OR
In the registry since
2010
What do these letters mean?
PTA — Physical Therapist Assistant
Delivers treatment under a physical therapist's direction.

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Practice location Address checks out

4855 SW Western Ave
Beaverton, OR 97005-3460
Phone: (503) 526-7449
Fax: (503) 277-1365
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence 8670 (OR)

Record details

NPI number1104139229
Entity typeIndividual (Type 1)
GenderMale
Credentials PTA
Sole proprietorNo
NPI enumeratedJuly 18, 2010
Last updated in NPPESJuly 18, 2010

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