Individual
GREGGORY MORTENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
7101 NE 137TH AVE, VANCOUVER, WA 98682-4933
(800) 813-2000
Mailing address
500 NE MULTNOMAH ST STE 100, PORTLAND, OR 97232-2099
(800) 813-2000
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
60735053
WA
225100000X
Physical Therapist
T61158
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
G9012098
—
WA
Enumeration date
07/16/2015
Last updated
01/22/2026
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