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NPI Code Detail

MEDICARE: MS. JANET GAYLE PERRY MPT

MEDICARE: MS. JANET GAYLE PERRY MPT
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
1225100000XPhysical Therapist2466OR

General Provider Information

NPI Number : 1013115559
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. JANET GAYLE PERRY MPT
Provider Business Mailing Address
First Line : 4021 SW SEYMOUR CT
Second Line :
City : PORTLAND
State : OR
Zip : 97221-3614
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 540 S MAIN ST
Second Line : PROVIDENCE BENEDICTINE REHAB DPT
City : MOUNT ANGEL
State : OR
Zip : 97362-9540
Country : US
Telephone Number : 503-845-2736
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/06/2007
Last Update Date : 07/08/2007

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Directions to “ MS. JANET GAYLE PERRY MPT” Practice Location

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