MEDICARE: DANIEL VARUGHESE DPT

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	225100000X	Physical Therapist	65126	OR

General Provider Information

NPI Number	:	1578336335
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DANIEL VARUGHESE DPT

Provider Business Mailing Address
First Line	:	1200 CORPORATE DR STE 400
Second Line	:
City	:	HOOVER
State	:	AL
Zip	:	35242-5424
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1537 MOUNT HOOD AVE STE 103
Second Line	:
City	:	WOODBURN
State	:	OR
Zip	:	97071-9098
Country	:	US
Telephone Number	:	503-980-9390
Fax Number	:

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

Provider Enumeration Date	:	11/03/2023
Last Update Date	:	12/10/2025

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Directions to “ DANIEL VARUGHESE DPT” Practice Location

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