MEDICARE: JUSTIN PAUL FINDLEY PTA

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
1	225200000X	Physical Therapy Assistant	P161536579	WA

General Provider Information

NPI Number	:	1184453680
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JUSTIN PAUL FINDLEY PTA

Provider Business Mailing Address
First Line	:	206 NE 176TH AVE
Second Line	:
City	:	VANCOUVER
State	:	WA
Zip	:	98684-3741
Country	:	US
Telephone Number	:	360-420-5293
Fax Number	:

Provider Business Practice Location Address
First Line	:	2205 NE COLUMBIA BLVD UNIT E
Second Line	:
City	:	PORTLAND
State	:	OR
Zip	:	97211-1930
Country	:	US
Telephone Number	:	503-895-1320
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/01/2024
Last Update Date	:	08/01/2024

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