Individual
CASEY MINNICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
270 NW BURNSIDE RD, GRESHAM, OR 97030-3836
(503) 215-9141
Mailing address
270 NW BURNSIDE RD, GRESHAM, OR 97030-3836
(503) 215-9141
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
65719
OR
Other
Enumeration date
02/03/2026
Last updated
02/03/2026
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