# BASTIAN PHYSICAL THERAPY, P.C.

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1235324948
- **Authorized official:** NEIL BASTIAN PT, LMT (PRESIDENT)
- **Authorized official phone:** (503) 697-0542

## Contact information

- **Practice address:** 870 5TH ST, LAKE OSWEGO, OR 97034-2312
- **Practice address phone:** (503) 697-0542
- **Practice address fax:** (503) 697-4895
- **Mailing address:** 870 5TH ST, LAKE OSWEGO, OR 97034-2312
- **Mailing address phone:** (503) 697-0542
- **Mailing address fax:** (503) 697-4895

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | 2021 | OR | Yes |

## Other

- **Enumeration date:** 09/06/2007
- **Last updated:** 04/05/2011