David Allen Deppeler, PT | |
4829 Ne Martin Luther King Blvd, Ste 101, Portland, OR 97211-3351 | |
(503) 283-8133 | |
(503) 289-2312 |
Full Name | David Allen Deppeler |
---|---|
Gender | Male |
Speciality | Physical Therapist |
Location | 4829 Ne Martin Luther King Blvd, Portland, Oregon |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1649250796 | NPI | - | NPPES |
0182472 | Other | OR | WASHINGTON L&I |
022256 | Medicaid | OR |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 2038 (Oregon) | Primary |
225100000X | Physical Therapist | PT00006055 (Washington) | Secondary |
225100000X | Physical Therapist | 3793 (Wisconsin) | Secondary |
Provider Name | Therapeutic Associates Inc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1972589364 PECOS PAC ID: 0042116279 Enrollment ID: O20040205000432 |
Mailing Address | Practice Location Address |
---|---|
David Allen Deppeler, PT 16083 Sw Upper Boones Ferry Rd, Ste 300, Tigard, OR 97224-7736 Ph: (800) 219-8835 | David Allen Deppeler, PT 4829 Ne Martin Luther King Blvd, Ste 101, Portland, OR 97211-3351 Ph: (503) 283-8133 |
Jonathan Rex Gustavson, MSPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3426 Ne 62nd Ave, Portland, OR 97213 Phone: 503-312-3443 | |
Ms. Ruth A Hurst, P.T., G.C.F.P. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 7721 Sw 34th Ave, Portland, OR 97219 Phone: 503-452-7767 | |
Ms. Molly Anne Bredenberg, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 5050 Ne Hoyt St, Portland, OR 97213 Phone: 503-215-0424 | |
David Genco Jr., DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 319 Ne Russet St, Portland, OR 97211 Phone: 503-289-5571 | |
Jenna Valentine, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 9204 Se Mitchell St, Portland, OR 97266 Phone: 503-777-6746 | |
Ariel Witkin, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1515 Nw 18th Ave Ste 400, Portland, OR 97209 Phone: 503-228-1306 Fax: 503-228-1307 | |
Brian Carper, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 300 N Graham St Ste 430, Portland, OR 97227 Phone: 503-413-1500 |