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

Phillip Clark, PTA

Individual provider Physical Therapy Assistant · NPI 1083272934

Phillip Clark, PTA is a Physical Therapy Assistant in Milwaukie, Oregon. Licensed in Washington. Registered with an NPI since 2019.

Licensed in
WA
In the registry since
2019
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

4560 SE International Way Ste 100
Milwaukie, OR 97222-4628
Phone: (812) 870-9822
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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 60915368 (WA)

Record details

NPI number1083272934
Entity typeIndividual (Type 1)
GenderMale
Credentials PTA
Sole proprietorNo
NPI enumeratedJune 4, 2019
Last updated in NPPESJune 4, 2019

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