Douglas Noland Bennett, DPT, CSCS | |
25030 Sw Parkway Ave Ste 100, Wilsonville, OR 97070-9816 | |
(503) 582-1073 | |
(503) 582-1093 |
Full Name | Douglas Noland Bennett |
---|---|
Gender | Male |
Speciality | Physical Therapist |
Location | 25030 Sw Parkway Ave Ste 100, Wilsonville, Oregon |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1770083446 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 62607 (Oregon) | Primary |
Provider Name | Northwest Surgical Specialists Pc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1730118803 PECOS PAC ID: 4183527153 Enrollment ID: O20040210001105 |
Mailing Address | Practice Location Address |
---|---|
Douglas Noland Bennett, DPT, CSCS 13525 Sw Aragon St, Beaverton, OR 97005-0820 Ph: (971) 570-6818 | Douglas Noland Bennett, DPT, CSCS 25030 Sw Parkway Ave Ste 100, Wilsonville, OR 97070-9816 Ph: (503) 582-1073 |
Mrs. Jaime Leigh Dutra Doppee, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 25030 Sw Parkway Ave, 101, Wilsonville, OR 97070 Phone: 503-582-1073 Fax: 503-582-1093 | |
Marcia E. Powell, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 25117 Sw Parkway Ave, Suite D, Wilsonville, OR 97070 Phone: 503-570-3665 | |
Jessica Kele Kathleen Murdin, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 25117 Sw Parkway Ave Ste D, Wilsonville, OR 97070 Phone: 503-570-3665 | |
Kristine J Spencer, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 8890 Sw Holly Ln, Suite B, Wilsonville, OR 97070 Phone: 503-682-7565 Fax: 503-682-8750 | |
Mr. Ian Andrew Mclean, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 30900 Sw Parkway Ave, Wilsonville, OR 97070 Phone: 503-682-2840 Fax: 503-682-2869 | |
Mrs. Anne Eileen Miller, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 25117 Sw Parkway Ave Ste D, Wilsonville, OR 97070 Phone: 503-570-3665 | |
Jennifer Lynne Rees-gross, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 25117 Sw Parkway Ave Ste D, Wilsonville, OR 97070 Phone: 402-871-3843 |