Healthcare Provider Details

I. General information

NPI: 1164540993
Provider Name (Legal Business Name): JAMES J TOFFOLO ND, PT
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/27/2007
Last Update Date: 01/23/2023
Certification Date: 01/23/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1655 SW HIGHLAND AVE SUITE 2
REDMOND OR
97756-2558
US

IV. Provider business mailing address

45 PINE MEADOWS RD
PINEHURST NC
28374-9531
US

V. Phone/Fax

Practice location:
  • Phone: 541-699-8185
  • Fax: 541-316-1799
Mailing address:
  • Phone: 503-888-8144
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code175F00000X
TaxonomyNaturopath
License Number1115R
License Number StateOR
# 2
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number3406
License Number StateOR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: