Bryan Llantero

Physical Therapist · Beaverton, OR

Individual Active NPI

NPI number 1053901603

Practice location

735 SW 158TH Ave Ste 160
Beaverton, OR 97006-4915
Phone
(503) 597-0035
Fax
(503) 726-5490

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NPI record

NPI
1053901603
Entity type
Individual (Type 1)
Enumeration date
January 19, 2021
Last updated
January 19, 2021
Certified
October 16, 2020
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Physical Therapist Primary 225100000X 63827 OR

Mailing address

790 Remington Blvd
Bolingbrook, IL 60440-4909
Phone
(866) 370-8206
Fax
(517) 435-3670

Other practice locations (1)

  • 11850 SW Allen Blvd, Beaverton, OR 97005-4805 · (503) 646-7164

About Bryan Llantero

Bryan Llantero is a healthcare provider registered in the NPI registry with the primary taxonomy Physical Therapist (code 225100000X). The practice location is 735 SW 158TH Ave Ste 160, Beaverton, OR 97006-4915. The NPI number 1053901603 was assigned on January 19, 2021 and the record was last updated on January 19, 2021.

Bryan Llantero lists a license in the registry: #63827 (OR) for Physical Therapist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Bryan Llantero?

The NPI number is 1053901603.

What is the phone number of Bryan Llantero?

The phone number listed for the practice location is (503) 597-0035.

Where is Bryan Llantero located?

735 SW 158TH Ave Ste 160, Beaverton, OR 97006-4915.

What is the taxonomy code for Bryan Llantero?

The primary taxonomy code is 225100000X – Physical Therapist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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