Active NPIIndividual provider

Desiray Anderson, PT, DPT

Physical Therapist in Portland, Oregon

NPI Number1982300596
Practice location
5736 NE Glisan St, Portland, OR 97213-3750
Fax
503-863-5881
Last updated
September 25, 2026

Desiray Anderson is a Physical Therapist based in Portland, OR. Desiray Anderson practices in Portland, OR and has the professional credentials of PT, DPT. The NPI Number for Desiray Anderson is 1982300596 and holds a License No. 65937 (OR). The current practice location address for Desiray Anderson is 5736 NE Glisan St, Portland, OR 97213-3750 and can be reached out via phone at 503-863-5880 and via fax at 503-863-5881.

Provider Profile Details

NPI Number
1982300596
Provider Name
Desiray Anderson
Credential
PT, DPT
Provider Entity Type
Individual
Gender
Female
Address
5736 NE Glisan St, Portland, OR 97213-3750
Phone Number
503-863-5880
Fax Number
503-863-5881
Primary Taxonomy
Physical Therapist · 225100000X
Sole Proprietor
No
Provider Enumeration Date
February 6, 2023
Last Update Date
September 25, 2026
Certification Date
September 25, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
5736 NE Glisan St
Portland, OR 97213-3750
State
Oregon
Zip
97213-3750
Phone Number
503-863-5880
Fax Number
503-863-5881
Portland, OR 97213Get directions →

Provider Business Mailing Address Details

Address
541 NE 20TH Ave Ste 225
Portland, OR 97232-2895
City
Portland
State
OR
Zip
97232-2895
Phone Number
503-963-2801

License Information

License Number
65937
License State
OR
Taxonomy
Physical Therapist · 225100000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Desiray Anderson, PT, DPT?

The NPI number of Desiray Anderson, PT, DPT is 1982300596. It was assigned on February 6, 2023 and is currently active in the NPPES registry.

What is the specialty of Desiray Anderson, PT, DPT?

Desiray Anderson, PT, DPT is registered under the primary taxonomy Physical Therapist (code 225100000X), licensed in OR under license number 65937.

Where does Desiray Anderson, PT, DPT practice?

The practice location is 5736 NE Glisan St, Portland, OR 97213-3750. The office can be reached at 503-863-5880 (phone) or 503-863-5881 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1982300596 directly on the NPPES registry website.

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