Jason Gough, DPT | |
2416 13th St Se Ste B, Salem, OR 97302-2546 | |
(503) 894-2826 | |
Not Available |
Full Name | Jason Gough |
---|---|
Gender | Male |
Speciality | Physical Therapy |
Experience | 16 Years |
Location | 2416 13th St Se Ste B, 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 |
---|---|---|---|
1639749583 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 5979 (Oregon) | Primary |
Provider Name | Pain Solutions Physical Therapy Llc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1871247338 PECOS PAC ID: 5092108654 Enrollment ID: O20220203002477 |
Mailing Address | Practice Location Address |
---|---|
Jason Gough, DPT 623 Golden Eagle St, Salem, OR 97304-4271 Ph: (833) 764-0178 | Jason Gough, DPT 2416 13th St Se Ste B, Salem, OR 97302-2546 Ph: (503) 894-2826 |
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