Individual
GREGGORY MORTENSEN
Active
Individual
GREGGORY MORTENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
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
Update your record
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