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NPI Code Detail

MEDICARE: ERNEST JONATHAN STURZINGER DPT

MEDICARE:   ERNEST JONATHAN STURZINGER  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
1225100000XPhysical Therapist5648OR

General Provider Information

NPI Number : 1194984377
Entity Type Code : Individual
Provider Name (Legal Business Name) : ERNEST JONATHAN STURZINGER DPT
Provider Business Mailing Address
First Line : 1480 NE VILLAGE ST
Second Line :
City : FAIRVIEW
State : OR
Zip : 97024-3827
Country : US
Telephone Number : 503-489-6250
Fax Number : 503-489-1650
Provider Business Practice Location Address
First Line : 1001 MOLALLA AVE
Second Line : SUITE 205
City : OREGON CITY
State : OR
Zip : 97045-3788
Country : US
Telephone Number : 503-607-0047
Fax Number : 503-607-0051
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/03/2008
Last Update Date : 05/15/2018

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Directions to “ ERNEST JONATHAN STURZINGER DPT” Practice Location

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