Individual
NICHOLAS PONZETTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
4540 NE GLISAN ST, PORTLAND, OR 97213-2333
(503) 215-3738
Mailing address
4830 SE STARK ST APT 3, PORTLAND, OR 97215-1762
(360) 607-5389
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
07/27/2016
Last updated
11/20/2025
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