person
John Matthew Tan Modina, PT
Orthopedic Physical Therapist in Portland, Oregon
NPI 1962141085

John Matthew Tan Modina is a Orthopedic Physical Therapist based in Vancouver, OR and is specialized in Orthopedic. John Matthew Tan Modina practices in Portland, OR and has the professional credentials of PT. The NPI Number for John Matthew Tan Modina is 1962141085 and holds a License No. 64474 (Oregon).

The current practice location address for John Matthew Tan Modina is 332 Ne San Rafael St, Portland, OR and can be reached out via phone at 503-288-2615.

Location: 332 Ne San Rafael St, Portland, OR, 98682-6610
person
Provider Profile Details
NPI Number
1962141085
Provider Name
John Matthew Tan Modina
Credential
PT
Provider Entity Type
Individual
Gender
Male
Address
332 Ne San Rafael St, Portland, OR, 98682-6610
Phone Number
503-288-2615
Fax Number
Provider Enumeration Date
05/27/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
332 Ne San Rafael St
City
State
Zip
97212-3948
Phone Number
503-288-2615
Fax Number
person
Provider Business Mailing Address Details
Address
332 Ne San Rafael St
City
State
Zip
97212-3948
Phone Number
503-288-2615
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Physical Therapist
Speciality
Orthopedic
Taxonomy
License No.
64474 (Oregon)
Definition
A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Orthopedic Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science; pathology/pathophysiology, pain science, medical and surgical considerations, orthopedic physical therapy theory and practice, and critical inquiry for evidence-based practice.
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