| |
213 Nw 2nd Ave, Myrtle Creek, OR 97457-9139 | |
(800) 219-8835 | |
(503) 639-9699 |
Full Name | |
---|---|
Type | Facility |
Speciality | Physical Therapist |
Location | 213 Nw 2nd Ave, Myrtle Creek, Oregon |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1093242240 | NPI | - | NPPES |
R104278 | Other | OR | MEDICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | (* (Not Available)) | Primary |
225X00000X | Occupational Therapist | (* (Not Available)) | Secondary |
Mailing Address | Practice Location Address |
---|---|
16083 Sw Upper Boones Ferry Rd Ste 300, Tigard, OR 97224-7736 Ph: (800) 219-8835 | 213 Nw 2nd Ave, Myrtle Creek, OR 97457-9139 Ph: (800) 219-8835 |
Lura Lynne Lemert, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 213 Nw 2nd Ave, Myrtle Creek, OR 97457 Phone: 541-863-8401 |