Individual
JAKE PORTINGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MED
Contact information
Practice address
111 HUNDERTMARK RD, CHASKA, MN 55318-4551
(952) 361-2447
Mailing address
5828 MEADOW LAKE RD W, NEW HOPE, MN 55428-3169
(952) 381-7565
Taxonomy
Speciality
Code
Description
License number
State
2251S0007X
Sports Physical Therapist
Primary
—
MN
Other
Enumeration date
05/05/2026
Last updated
05/05/2026
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