Kelly L Von Bargen, PTA, LMT is a
Physical Therapy Assistant based in Milwaukie, Oregon. Kelly L Von Bargen is licensed to practice in Oregon (license number 09654) and her current practice location is
4560 Se International Way Ste 100, Milwaukie, Oregon. She can be reached at her office (for appointments etc.) via phone at
(971) 206-2314.
NPI number for Kelly L Von Bargen is 1508302241 and her current mailing address is 287 Ne 3rd St Apt 209, Gresham, Oregon. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1508302241.
Healthcare Provider's Profile
Full Name | Kelly L Von Bargen |
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Gender | Female |
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Speciality | Physical Therapy Assistant |
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Location | 4560 Se International Way Ste 100, Milwaukie, Oregon |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1508302241
- Provider Enumeration Date: 01/18/2017
- Last Update Date: 11/01/2018
Medical Identifiers
Medical identifiers for Kelly L Von Bargen such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1508302241 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
225700000X | Massage Therapist | 22780 (Oregon) | Secondary |
225200000X | Physical Therapy Assistant | 09654 (Oregon) | Primary |
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. Kelly L Von Bargen 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 |
Kelly L Von Bargen, PTA, LMT 287 Ne 3rd St Apt 209, Gresham, OR 97030-7722 Ph: (971) 361-6349 | Kelly L Von Bargen, PTA, LMT 4560 Se International Way Ste 100, Milwaukie, OR 97222-4628 Ph: (971) 206-2314 |
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