| Brandon Shink, PT, DPT | |
|
6542 Se Lake Rd, Milwaukie, OR 97222-2244 | |
| (503) 427-0118 | |
| Not Available |
| Full Name | Brandon Shink |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 6542 Se Lake Rd, Milwaukie, Oregon |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710430228 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 65514 (Oregon) | Primary |
| 225100000X | Physical Therapist | 112017 (Alaska) | Secondary |
| Provider Name | Matt A. Heilala, Dpm Inc. |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1316046790 PECOS PAC ID: 3779496294 Enrollment ID: O20031111000251 |
| Provider Name | Select Physical Therapy Holdings Inc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1699743484 PECOS PAC ID: 9537076401 Enrollment ID: O20151117000542 |
| Mailing Address | Practice Location Address |
|---|---|
| Brandon Shink, PT, DPT 304 W Evergreen Ave, Suite 101, Palmer, AK 99645-6970 Ph: () - | Brandon Shink, PT, DPT 6542 Se Lake Rd, Milwaukie, OR 97222-2244 Ph: (503) 427-0118 |
Joan Luna Vicente, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4560 Se International Way, Consonus Healthcare Services Suite 100, Milwaukie, OR 97222 Phone: 971-206-5149 Fax: 971-206-5209 | |
Ms. Jamilyn D Jeffrey, RPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4560 Se International Way Suite 100, Consonus Healthcare Services, Milwaukie, OR 97222 Phone: 971-206-5149 Fax: 971-206-5209 | |
North Lake Physical Therapy And Rehabilitation, Inc. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4606 Se Boardman Ave, Milwaukie, OR 97267 Phone: 503-353-9776 Fax: 503-353-9777 | |
Michelle Longa, RPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4560 Se International Way, Ste 100, Milwaukie, OR 97222 Phone: 971-206-5237 | |
Molly Larson Peichel, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 12045 Se Stanley Ave, Milwaukie, OR 97222 Phone: 503-659-2323 | |
Mr. Ron D Drago, OT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4560 Se International Way, Suite 100 Consonus Healthcare Services, Milwaukie, OR 97222 Phone: 971-206-5129 Fax: 971-206-5209 | |
Scott Coats, PHYSICAL THERAPIST Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4560 Se International Way, Consonus Rehab Services, Milwaukie, OR 97222 Phone: 971-206-5140 Fax: 971-206-5209 |