Individual
JORDAN P PASCUA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
3710 SW US VETERANS HOSPITAL RD RM 1C-194A, PORTLAND, OR 97239-2964
(503) 273-5018
Mailing address
3710 SW US VETERANS HOSPITAL RD RM 1C-194A, PORTLAND, OR 97239-2964
(503) 273-5018
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
14221457-2401
UT
225100000X
Physical Therapist
Primary
66143
OR
225100000X
Physical Therapist
PT.PT.70150967-CP
WA
2251X0800X
Orthopedic Physical Therapist
Primary
14221457-2401
UT
Other
Enumeration date
06/08/2026
Last updated
06/26/2026
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