Individual
KEVIN LE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
11105 SW GREENBURG RD, TIGARD, OR 97223-5446
(971) 294-2669
Mailing address
8824 SW TALAWA DR, TUALATIN, OR 97062-6336
(503) 470-0215
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
64728
OR
2251S0007X
Sports Physical Therapist
64728
OR
2251X0800X
Orthopedic Physical Therapist
64728
OR
Other
Enumeration date
11/17/2022
Last updated
07/31/2025
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