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NPI Code Detail

MEDICARE: DR. MARLENE R DUMAS D.P.T.

MEDICARE: DR. MARLENE R DUMAS D.P.T.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical Therapist4145OR

General Provider Information

NPI Number : 1174523559
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MARLENE R DUMAS D.P.T.
Provider Business Mailing Address
First Line : PO BOX 1911
Second Line :
City : SISTERS
State : OR
Zip : 97759-1911
Country : US
Telephone Number : 541-549-3534
Fax Number : 541-549-8909
Provider Business Practice Location Address
First Line : 325 N LOCUST ST
Second Line :
City : SISTERS
State : OR
Zip : 97759-5047
Country : US
Telephone Number : 541-549-3534
Fax Number : 541-549-1272
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/28/2005
Last Update Date : 09/11/2023

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