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Pacific Neuro Therapy

Physical Therapist in Tigard, OR · enumerated 2016 · authorized official Kellen Mastrud, Co-Owner & President.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1316394083

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Registry record

Entity type Organization (Type 2)
Legal business name Pacific Neuro Therapy
Other name <Unavail>
Practice address 11105 Sw Greenburg Rd, Tigard, OR, 97223
Phone (971) 294-2669
Fax (503) 746-6609
Enumeration date May 23, 2016
Last updated in NPPES Oct 3, 2022

Taxonomy & classification

225100000X Physical Therapist Respiratory, Developmental, Rehabilitative and Restorative Service Providers Primary
261QP2000X Physical Therapy Clinic/Center Ambulatory Health Care Facilities Secondary

Authorized official

Name Kellen Mastrud
Title Co-Owner & President
Phone (971) 294-2669

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2022-10-03. Verify at npiregistry.cms.hhs.gov.
Where is Pacific Neuro Therapy located?
The practice location on file with NPPES is in Tigard, OR.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2022-10-03.