Most Relevant Information
Provider Data
| NPI Number: | 1003462680 |
| Provider Name: | ARIEL WITKIN PT |
| Entity Type: | Individual |
| Taxonomy Code: | 225100000X |
| Specialty: | Physical Therapist |
| License Number: | 63262 |
Most Important Dates
| Enumeration Date: | 08/10/2019 |
| Last Updated: | 08/10/2019 |
Provider Practice Location
1515 NW 18TH AVE STE 400
PORTLAND
OR
972092516
Practice Location Phone/Fax
| Phone: | 5032281306 |
| Fax: | 5032281307 |
Provider Mailing Location
1515 NW 18TH AVE STE 400
PORTLAND
OR
972092516
Provider Mailing Phone/Fax
| Phone: | 5032281306 |
| Fax: | 5032281307 |