Brandie Collette Dupont in Portland - Physical Therapy Assistant
Brandie Collette Dupont - NPI 1417003997
Brandie Collette Dupont is a Physical Therapy Assistant in Portland, Oregon. Brandie Collette Dupont practices all healthcare services and medical treatments related to Physical Therapy Assistant. The NPI Number for Brandie Collette Dupont is 1417003997. The last update date is 2011-07-06.
Brandie Collette Dupont's current location address is 3018 Sw Carson St, Portland, Oregon. You can contact this provider via phone number 9712757973. The mailing address for Brandie Collette Dupont is 3018 Sw Carson St, Portland, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Brandie Collette Dupont |
|---|---|
| Address | 3018 Sw Carson St, Portland, Oregon |
| Phone Number | 9712757973 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | MS, ATC, P |
NPI Number Detail
| NPI Number | 1417003997 |
|---|---|
| Provider Enumeration Date | 2007-01-26 |
| Last Updated Date | 2011-07-06 |
Provider Mailing Address Detail
| Address | 3018 Sw Carson St |
|---|---|
| City | Portland |
| State | Oregon (OR) |
| Post Code | 972193720 |
| Phone Number | 9712757973 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Physical Therapy Assistant |
|---|---|
| Taxonomy | 225200000X |
| Licence No | 8730 |
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Definition: (1)Physical therapist assistants are skilled health care providers who are graduates of a physical therapist assistant associate degree program accredited by an agency recognized by the Secretary of the U.S. Department of Education or Council on Post |
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What is the unique 10-digit identification code issued to Brandie Collette Dupont by the Centers for Medicare & Medicaid Services?
The Brandie Collette Dupont has been assigned the NPI (National Provider Identifier) 1417003997 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you share the physical location details of Brandie Collette Dupont?
The Brandie Collette Dupont is situated at 3018 Sw Carson St, in the city of Portland, state of OR, with the zip code 972193720.
What is Brandie Collette Dupont's area of expertise and its corresponding taxonomy classification?
The Brandie Collette Dupont's field of specialization is Physical Therapy Assistant, and it falls under the taxonomy code 225200000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Brandie Collette Dupont receive the assignment of its 1417003997 from the Centers for Medicare & Medicaid Services?
The Brandie Collette Dupont was issued its 1417003997 by the Centers for Medicare & Medicaid Services on 2007-01-26.
As of what date were the details related to Brandie Collette Dupont most recently updated or revised?
The information pertaining to Brandie Collette Dupont, including its address, specialty, and other relevant details, was last updated or revised on 2011-07-06.
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