| Amanda Rose Pardue, | |
|
936 Se Oak St, Hillsboro, OR 97123-4214 | |
| (971) 259-6916 | |
| Not Available |
| Full Name | Amanda Rose Pardue |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist |
| Location | 936 Se Oak St, Hillsboro, Oregon |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063277572 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 64186 (Oregon) | Primary |
| Provider Name | Gateway Sports Medicine & Rehabilitation Pc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1972698892 PECOS PAC ID: 4385617489 Enrollment ID: O20040817000740 |
| Mailing Address | Practice Location Address |
|---|---|
| Amanda Rose Pardue, 936 Se Oak St, Hillsboro, OR 97123-4214 Ph: (971) 259-6916 | Amanda Rose Pardue, 936 Se Oak St, Hillsboro, OR 97123-4214 Ph: (971) 259-6916 |
Janet R Oconnor, RPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 862 Se Oak St, Suite 2a, Hillsboro, OR 97123 Phone: 503-844-6565 Fax: 503-844-4225 | |
Nancy Ann Cicirello, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 222 Se 8th Ave, Hillsboro, OR 97123 Phone: 503-352-7253 Fax: 503-352-7340 | |
Christopher John Renner, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 7305 Se Circuit Dr Ste 140, Hillsboro, OR 97123 Phone: 971-501-4905 | |
Mrs. Tawnie Dean Cowan, D.P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 936 Se Oak St, Hillsboro, OR 97123 Phone: 503-546-6392 Fax: 503-546-9150 | |
Marie Pielage, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 335 Se 8th Ave, Hillsboro, OR 97123 Phone: 503-640-6006 | |
Miguel Paniagua Rodriguez, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1200 Ne 48th Ave Ste 700, Hillsboro, OR 97124 Phone: 503-640-6064 | |
Tiffany Kugiya, Physical Therapist Medicare: Medicare Enrolled Practice Location: 5920 Ne Ray Cir Ste 160, Hillsboro, OR 97124 Phone: 503-844-9294 |