Provider Demographics
NPI:1992681811
Name:GANDHI, ABOLI (PT, DPT)
Entity type:Individual
Prefix:
First Name:ABOLI
Middle Name:
Last Name:GANDHI
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11723 NW SADIE ST
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97229-2589
Mailing Address - Country:US
Mailing Address - Phone:408-910-1092
Mailing Address - Fax:
Practice Address - Street 1:4606 SE BOARDMAN AVE
Practice Address - Street 2:
Practice Address - City:MILWAUKIE
Practice Address - State:OR
Practice Address - Zip Code:97267-5930
Practice Address - Country:US
Practice Address - Phone:503-353-9776
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-08-14
Last Update Date:2025-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist