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HomeProvidersCHILDRENS INTENSIVE THERAPY NORTHWEST

Physical Therapist, Pediatrics

CHILDRENS INTENSIVE THERAPY NORTHWEST

Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.

Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.

Public record

NPI 1477886232 · enumerated 2009-09-11 · record updated 2013-07-17. Source: CMS NPPES. A listing is not a TRICARE network approval.

NPPES record Google Maps Apple Maps OpenStreetMap

Authorized official: Mr. DARREN BRAULT, Owner · (971) 570-5043

Addresses and phones

Mailing address 12948 SE WINSTON RD, DAMASCUS, OR, 97089-7606 (971) 570-5043 Google Maps Apple Maps OpenStreetMap
Practice location 7203 SE RAYMOND ST, PORTLAND, OR, 97206-4323 (503) 895-1320 Fax (503) 296-2319 Google Maps Apple Maps OpenStreetMap

Specialties

Physical Therapist, Pediatrics 2251P0200X · License 5680 OR
Physical Therapist, Pediatrics 2251P0200X · Primary · License 4970 OR

In this directory

OR Multnomah County Portland Physical Therapist, Pediatrics

Locations and evidence

Practice location PORTLAND, OR, 972064323
Accepting new patientsNot reportedCMS NPPES · September 30, 2026

Plan acceptance

No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.