Charlo Brandon Crumpacker, PT, DPT | |
1424 Molalla Ave, Oregon City, OR 97045-4004 | |
(503) 744-4916 | |
Not Available |
Full Name | Charlo Brandon Crumpacker |
---|---|
Gender | Male |
Speciality | Physical Therapy |
Experience | 6 Years |
Location | 1424 Molalla Ave, Oregon City, Oregon |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1003461823 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2251X0800X | Physical Therapist - Orthopedic | 63405 (Oregon) | Secondary |
225100000X | Physical Therapist | (* (Not Available)) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Providence Health And Services - Washington | 2860552973 | 228 |
Provider Name | Providence Health & Services - Washington |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1922259738 PECOS PAC ID: 2860552973 Enrollment ID: O20081223000478 |
Mailing Address | Practice Location Address |
---|---|
Charlo Brandon Crumpacker, PT, DPT 1200 Corporate Dr, Hoover, AL 35242-2941 Ph: (423) 682-8840 | Charlo Brandon Crumpacker, PT, DPT 1424 Molalla Ave, Oregon City, OR 97045-4004 Ph: (503) 744-4916 |
Benchmark Physical Therapy Of Or, Llc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1424 Molalla Ave, Oregon City, OR 97045 Phone: 123-456-7897 | |
Active Edge Physical Therapy, Llc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 19727 South Highway 213, Oregon City, OR 97045 Phone: 503-387-5449 Fax: 503-342-6846 | |
Brian Bartelli, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1715 Beavercreek Rd, Oregon City, OR 97045 Phone: 503-657-8553 | |
Lori A Perry, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1400 Division St, Oregon City, OR 97045 Phone: 971-206-2486 | |
Angela Hastin, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1511 Division St, Oregon City, OR 97045 Phone: 503-657-6747 | |
John Irwin, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1511 Division St Ste 201a, Oregon City, OR 97045 Phone: 503-657-6747 |