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

Individual provider Physical Therapy Assistant · NPI 1659578557

Mike Stuart Davis, PTA is a Physical Therapy Assistant in Portland, Oregon. Practices as a sole proprietor. Licensed in Montana and Oregon.

Licensed in
MT, OR
In the registry since
2007
Specialties on file
2
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

5415 SW Westgate Dr Ste L3
Portland, OR 97221-2409
Phone: (503) 297-3003
Fax: (503) 297-9414
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Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence 8463 (OR)
Physical Therapy Assistant Taxonomy 225200000X · Licence 1353 (MT)

Record details

NPI number1659578557
Entity typeIndividual (Type 1)
GenderMale
Credentials PTA
Sole proprietorYes
NPI enumeratedJuly 3, 2007
Last updated in NPPESJuly 8, 2007

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