- Physical Therapist in Grand Ronde, OR

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is a Physical Therapist based in Grand Ronde, Oregon. is licensed to practice in * (Not Available) (license number ) and their current practice location is 9605 Grand Ronde Rd, Grand Ronde, Oregon. It can be reached at their office (for appointments etc.) via phone at (503) 990-8627.

NPI number for is 1508111931 and their current mailing address is 495 State St Fl 6, Salem, Oregon. does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1508111931.

Contact Information

9605 Grand Ronde Rd,
Grand Ronde, OR 97347-9712
(503) 990-8627
(503) 990-8630

Map and Direction




Healthcare Provider's Profile

Full Name
TypeFacility
SpecialityPhysical Therapist
Location9605 Grand Ronde Rd, Grand Ronde, Oregon
Accepts Medicare AssignmentsDoes not participate in Medicare Program. The facility may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1508111931
  • Provider Enumeration Date: 07/23/2012
  • Last Update Date: 07/23/2012

Medical Identifiers

Medical identifiers for such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1508111931NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
225100000XPhysical Therapist (* (Not Available))Primary
2251H1200XPhysical Therapist - Hand (* (Not Available))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. 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 AddressPractice Location Address

495 State St Fl 6,
Salem, OR 97301-3757

Ph: (503) 400-6110
9605 Grand Ronde Rd,
Grand Ronde, OR 97347-9712

Ph: (503) 990-8627

Reviews and Comments


Physical Therapist in Grand Ronde, OR


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Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

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