Individual
BRYAN A PASTERNAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MPT
Contact information
Practice address
14880 SW SUNRISE LN, TIGARD, OR 97224-1255
(503) 496-0385
(866) 631-9368
Mailing address
PO BOX 22499, MILWAUKIE, OR 97269-2499
(503) 496-0385
(866) 633-1936
Taxonomy
Speciality
Code
Description
License number
State
2251G0304X
Geriatric Physical Therapist
3726
OR
2251X0800X
Orthopedic Physical Therapist
Primary
3726
OR
Other
Enumeration date
02/24/2009
Last updated
12/07/2023
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