Healthcare Provider Details

I. General information

NPI: 1447139217
Provider Name (Legal Business Name): DARCI ROSE HINTHORN MSPT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/27/2025
Last Update Date: 08/27/2025
Certification Date: 08/27/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

905 4TH AVE SE
ALBANY OR
97321-3104
US

IV. Provider business mailing address

905 4TH AVE SE
ALBANY OR
97321-3104
US

V. Phone/Fax

Practice location:
  • Phone: 541-812-2771
  • Fax:
Mailing address:
  • Phone: 541-812-2771
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number2184
License Number StateOR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: