Healthcare Provider Details

I. General information

NPI: 1972751725
Provider Name (Legal Business Name): BARTLETT PHYSICAL THERAPY, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/05/2008
Last Update Date: 09/05/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2747 NW 9TH ST
CORVALLIS OR
97330
US

IV. Provider business mailing address

2747 NW 9TH ST
CORVALLIS OR
97330
US

V. Phone/Fax

Practice location:
  • Phone: 541-738-1101
  • Fax: 541-738-1101
Mailing address:
  • Phone: 541-738-1101
  • Fax: 541-738-1101

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2251X0800X
TaxonomyOrthopedic Physical Therapist
License Number1287
License Number StateOR

VIII. Authorized Official

Name: MS. MARGARET D. BARTLETT
Title or Position: PRESIDENT
Credential: PHYSICAL THERAPIST
Phone: 541-738-1101