Individual
MS. LINDSAY BROOKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA, PA-C
Contact information
Practice address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3011
(503) 418-0990
Mailing address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3011
(503) 418-0990
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
8448
OR
363A00000X
Physician Assistant
PA159848
OR
363AM0700X
Medical Physician Assistant
Primary
PA159848
OR
Other
Enumeration date
01/09/2007
Last updated
04/04/2025
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