# NUDGE PHYSICAL THERAPY

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

## Provider details

- **NPI number:** 1679447395
- **Authorized official:** DR. JESSICA ANN MCCONAHAY DPT (PHYSICAL THERAPIST)
- **Authorized official phone:** (415) 264-2001

## Contact information

- **Practice address:** 3164 N KILPATRICK ST, PORTLAND, OR 97217-6134
- **Practice address phone:** (415) 264-2001
- **Mailing address:** 3164 N KILPATRICK ST, PORTLAND, OR 97217-6134
- **Mailing address phone:** (415) 264-2001

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QP2000X | Physical Therapy Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 10/04/2025
- **Last updated:** 10/04/2025