Provider Demographics
NPI:1669679882
Name:FRANKO, PATRICK IAN (PT)
Entity Type:Individual
Prefix:MR
First Name:PATRICK
Middle Name:IAN
Last Name:FRANKO
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2331 NE 43RD AVE
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97213-1332
Mailing Address - Country:US
Mailing Address - Phone:503-438-8049
Mailing Address - Fax:
Practice Address - Street 1:13505 SE RIVER ROAD, ROSE VILLA
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97222
Practice Address - Country:US
Practice Address - Phone:888-426-4905
Practice Address - Fax:866-365-6768
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-29
Last Update Date:2023-11-28
Deactivation Date:2019-09-10
Deactivation Code:
Reactivation Date:2023-11-28
Provider Licenses
StateLicense IDTaxonomies
WA00008085225100000X
OR03619225100000X
OR3619225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist