Mrs Susan Kretzmann Bamberger, PT is a
Physical Medicine & Rehabilitation physician based in Lake Oswego, Oregon. Mrs Susan Kretzmann Bamberger is licensed to practice in Oregon (license number 3905) and her current practice location is 17120 Pilkington Rd, Lake Oswego, Oregon. She can be reached at her office (for appointments etc.) via phone at
(503) 974-9078.
NPI number for Mrs Susan Kretzmann Bamberger is 1669581542 and her current mailing address is 6255 Sw Chestnut Ave, Beaverton, Oregon. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1669581542.
Physician's Profile
| Full Name | Mrs Susan Kretzmann Bamberger |
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| Gender | Female |
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| Speciality | Physical Medicine & Rehabilitation |
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| Location | 17120 Pilkington Rd, Lake Oswego, Oregon |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1669581542
- Provider Enumeration Date: 08/30/2006
- Last Update Date: 09/11/2014
Medical Identifiers
Medical identifiers for Mrs Susan Kretzmann Bamberger such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1669581542 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208100000X | Physical Medicine & Rehabilitation | 3905 (Oregon) | Primary |
| 208100000X | Physical Medicine & Rehabilitation | 8064 (Washington) | Secondary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Susan Kretzmann Bamberger is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Mrs Susan Kretzmann Bamberger, PT
6255 Sw Chestnut Ave,
Beaverton, OR 97005-4200
Ph: (503) 892-4564 | Mrs Susan Kretzmann Bamberger, PT
17120 Pilkington Rd,
Lake Oswego, OR 97035-5353
Ph: (503) 974-9078 |
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