Individual
CHRISTOPHER MATUSHAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
11782 SW BARNES RD STE 300, PORTLAND, OR 97225-5933
(503) 214-5200
(503) 906-6613
Mailing address
11782 SW BARNES RD STE 300, PORTLAND, OR 97225-5933
(503) 214-5200
(503) 906-6613
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
PT018397
OH
2251X0800X
Orthopedic Physical Therapist
Primary
PT64543
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
64543
PHYSICAL THERAPY LICENSE - OREGON
OR
Enumeration date
11/26/2019
Last updated
09/08/2022
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