Philip Vande Pol in Portland - Physical Therapist

Philip Vande Pol - NPI 1639155237

Philip Vande Pol is a Physical Therapist in Portland, Oregon. Philip Vande Pol practices all healthcare services and medical treatments related to Physical Therapist. The NPI Number for Philip Vande Pol is 1639155237. The last update date is 2010-11-03.

Philip Vande Pol's current location address is 11481 Sw Hall Blvd, Portland, Oregon. You can contact this provider via phone number 8002198835 and fax number 5036399699. The mailing address for Philip Vande Pol is 11481 Sw Hall Blvd, Portland, Oregon. To know further, please read the information below!

Provider Profile Detail

Provider Name Philip Vande Pol
Address 11481 Sw Hall Blvd, Portland, Oregon
Phone Number 8002198835
Fax Number 5036399699
Sole Proprietor N
Credentials PT, DPT

NPI Number Detail

NPI Number 1639155237
Provider Enumeration Date 2005-12-16
Last Updated Date 2010-11-03

Provider Mailing Address Detail

Address 11481 Sw Hall Blvd
City Portland
State Oregon (OR)
Post Code 972238403
Phone Number 8002198835
Fax Number 5036399699

Provider's Primary Taxonomy Detail

Speciality Physical Therapist
Taxonomy 225100000X
Licence No 4927
Definition:
Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and per

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
1639155237 WA --
8501348 WA --
278011 OR --

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FAQs about Philip Vande Pol

What is the unique identifier code issued to Philip Vande Pol by the Centers for Medicare & Medicaid Services (CMS)?

The Philip Vande Pol has been assigned the NPI (National Provider Identifier) 1639155237. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Where is the Philip Vande Pol located?

The Philip Vande Pol is located at 11481 Sw Hall Blvd, Portland, OR 972238403.

What is Philip Vande Pol's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Philip Vande Pol is Physical Therapist, and the corresponding taxonomy classification code for this specialized field is 225100000X.

On what date did the Philip Vande Pol receive the assignment of its 1639155237 from the Centers for Medicare & Medicaid Services?

The Philip Vande Pol was issued its 1639155237 by the Centers for Medicare & Medicaid Services on 2005-12-16.

As of what date was the information regarding Philip Vande Pol, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Philip Vande Pol, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2010-11-03.

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