Active NPI
Erin C Clougherty, DPT
- Physical Therapist
- Tualatin, OR
National Provider Identifier
1700193885
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 5857
- Practice address
- 19260 SW 65TH Ave
Suite 285
Tualatin, OR 97062-5701 - Phone
- (503) 692-2406
- NPI assigned
- Sep 9, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 5857 | OR | Primary |
Addresses
Primary practice location
19260 SW 65TH Ave
Suite 285
Tualatin, OR 97062-5701
Mailing address
6455 SW Nyberg LN
Apt A211
Tualatin, OR 97062-9704
Phone (503) 692-2406
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5857 | OR | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1283990400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1284076800000",
"number": "1700193885",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6455 SW NYBERG LN",
"address_2": "APT A211",
"city": "TUALATIN",
"state": "OR",
"postal_code": "970629704",
"telephone_number": "503-692-2406"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19260 SW 65TH AVE",
"address_2": "SUITE 285",
"city": "TUALATIN",
"state": "OR",
"postal_code": "970625701",
"telephone_number": "503-692-2406"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CLOUGHERTY",
"first_name": "ERIN",
"middle_name": "C",
"name_prefix": "Dr.",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-09-09",
"last_updated": "2010-09-10",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OR",
"license": "5857",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tualatin, OR
- Anita R Cintron Rivera, PA
- Clackamas County School District 3JT (West Linn Wilsonville School District 3Jt)
- Kyleen Clarke, OTR/L
- Abbie Clayton, LMT
- Debra M Clement, RN, FNP, ARNP
- Pam K Cockrell, RPH
- Elliott Walker Cole, MPH
- Michael Craig Collison, DPT
- Brandon Colwell
- Compassionate Caregivers Homecare LLC (Synergy Homecare of Tualatin)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.