Erik W Deproost, PT | |
528 Cottage St Ne Ste 203, Salem, OR 97301-3787 | |
(505) 819-7207 | |
Not Available |
Full Name | Erik W Deproost |
---|---|
Gender | Male |
Speciality | Physical Therapy |
Experience | 39 Years |
Location | 528 Cottage St Ne Ste 203, Salem, 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 |
---|---|---|---|
1417959248 | NPI | - | NPPES |
72727837 | Medicaid | NM |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 63984 (Oregon) | Primary |
225100000X | Physical Therapist | 2043 (New Mexico) | Secondary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Therapy Solutions Llc | 1658473624 | 6 |
Provider Name | Therapy Solutions Llc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1285736751 PECOS PAC ID: 1658473624 Enrollment ID: O20070221000481 |
Mailing Address | Practice Location Address |
---|---|
Erik W Deproost, PT 3880 Croisan Creek Rd S, Salem, OR 97302-9412 Ph: (505) 819-7207 | Erik W Deproost, PT 528 Cottage St Ne Ste 203, Salem, OR 97301-3787 Ph: (505) 819-7207 |
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