Emily Dutton, | |
413 Nw Larch Ave, Suite 102, Redmond, OR 97756-1396 | |
(541) 923-7494 | |
(541) 504-9153 |
Full Name | Emily Dutton |
---|---|
Gender | Female |
Speciality | Physical Therapist |
Location | 413 Nw Larch Ave, Redmond, Oregon |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1497104145 | NPI | - | NPPES |
500709711 | Medicaid | OR |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 61731 (Oregon) | Primary |
Provider Name | Life Out Loud Llc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1952947616 PECOS PAC ID: 3375957293 Enrollment ID: O20210203002895 |
Mailing Address | Practice Location Address |
---|---|
Emily Dutton, 16083 Sw Upper Boones Ferry Rd, Suite 300, Tigard, OR 97224-7736 Ph: (800) 219-8835 | Emily Dutton, 413 Nw Larch Ave, Suite 102, Redmond, OR 97756-1396 Ph: (541) 923-7494 |
Jody Lynn Korepta, SPEECH THERAPIST Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1315 Nw 4th St, Suite B, Redmond, OR 97756 Phone: 541-923-7494 Fax: 541-504-9153 | |
Peak Performance Physical Therapy Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 450 Nw Greenwood Ave, Redmond, OR 97756 Phone: 541-923-0410 Fax: 541-923-7393 | |
Ms. Karen Jean Walz, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 413 Nw Larch Ave, Suite 102, Redmond, OR 97756 Phone: 541-923-7494 Fax: 541-504-9153 | |
Jolene M Stout, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 946 Sw Veterans Way Ste 100, Redmond, OR 97756 Phone: 541-527-4386 | |
Dr. Laura Mann, PT, DPT, OCS Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1315 Nw 4th St, Suite B, Redmond, OR 97756 Phone: 541-504-2350 Fax: 541-504-2354 | |
Amy J Houchens, P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 413 Nw Larch Ave, Suite 102, Redmond, OR 97756 Phone: 541-923-7494 Fax: 541-504-9153 | |
Seth Cory, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 450 Nw Greenwood Ave, Redmond, OR 97756 Phone: 541-923-0410 |