Troy J Hattan, PHYSICAL THERAPIST | |
525 Se Washington St, Dallas, OR 97338-2834 | |
(503) 623-7305 | |
(503) 623-7325 |
Full Name | Troy J Hattan |
---|---|
Gender | Male |
Speciality | Physical Therapy |
Experience | 33 Years |
Location | 525 Se Washington St, Dallas, 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 |
---|---|---|---|
1144845769 | NPI | - | NPPES |
2366 | Medicaid | OR |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2251X0800X | Physical Therapist - Orthopedic | 2366 (Oregon) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Salem Health West Valley | 7810804630 | 19 |
Salem Health | 8628986668 | 393 |
Provider Name | Salem Health West Valley |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1245237486 PECOS PAC ID: 7810804630 Enrollment ID: O20040225000830 |
Provider Name | Salem Health |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1265431829 PECOS PAC ID: 8628986668 Enrollment ID: O20040309001131 |
Mailing Address | Practice Location Address |
---|---|
Troy J Hattan, PHYSICAL THERAPIST 525 Se Washington St, Dallas, OR 97338-2834 Ph: (503) 623-7305 | Troy J Hattan, PHYSICAL THERAPIST 525 Se Washington St, Dallas, OR 97338-2834 Ph: (503) 623-7305 |
Timothy Ryan Jamar, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 377 Nw Jasper St, Dallas, OR 97338 Phone: 503-623-5581 | |
Rolf Jett Vognild, MSPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 17550 Gardner Rd, Dallas, OR 97338 Phone: 503-623-4084 | |
Melinda Walker, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 322 Main St # 326, Dallas, OR 97338 Phone: 503-837-1316 | |
Braedon Clay Miller, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 641 Se Miller Ave, Dallas, OR 97338 Phone: 503-623-7305 | |
Mr. Alan M Noble, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 210 W Ellendale Ave Ste 100, Dallas, OR 97338 Phone: 503-623-2433 Fax: 503-623-2196 | |
Dr. Lea Camille Domingo Keenantasker, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 377 Nw Jasper St, Dallas, OR 97338 Phone: 503-623-5581 |