Stephen Edward Anderson in Portland - Physical Therapist

Stephen Edward Anderson - NPI 1114901147

Stephen Edward Anderson is a Physical Therapist in Portland, Oregon. Stephen Edward Anderson practices all healthcare services and medical treatments related to Physical Therapist. The NPI Number for Stephen Edward Anderson is 1114901147. The last update date is 2007-07-08.

Stephen Edward Anderson's current location address is 11481 Sw Hall Blvd, Portland, Oregon. You can contact this provider via phone number 8002198835 and fax number 5034431402. The mailing address for Stephen Edward Anderson is 11481 Sw Hall Blvd, Portland, Oregon. To know further, please read the information below!

Provider Profile Detail

Provider Name Stephen Edward Anderson
Address 11481 Sw Hall Blvd, Portland, Oregon
Phone Number 8002198835
Fax Number 5034431402
Sole Proprietor X
Credentials PHYSICAL T

NPI Number Detail

NPI Number 1114901147
Provider Enumeration Date 2005-12-02
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 11481 Sw Hall Blvd
City Portland
State Oregon (OR)
Post Code 972238403
Phone Number 8002198835
Fax Number 5034431402

Provider's Primary Taxonomy Detail

Speciality Physical Therapist
Taxonomy 225100000X
Licence No PT00002911
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
7046626 WA --

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FAQs about Stephen Edward Anderson

What is the unique 10-digit identifier code issued to Stephen Edward Anderson by the Centers for Medicare & Medicaid Services?

The Stephen Edward Anderson has been assigned the NPI (National Provider Identifier) 1114901147 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you please provide the complete street address where Stephen Edward Anderson is physically located?

The Stephen Edward Anderson is physically situated at the following address: 11481 Sw Hall Blvd, Portland, OR, 972238403.

What is Stephen Edward Anderson's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Stephen Edward Anderson is Physical Therapist, and the taxonomy code that categorizes this field of expertise is 225100000X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1114901147 to Stephen Edward Anderson?

The Centers for Medicare & Medicaid Services originally issued the 1114901147 to Stephen Edward Anderson on 2005-12-02.

When was the Stephen Edward Anderson's information last updated?

The Stephen Edward Anderson's information was last updated on 2007-07-08.

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