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NPI Code Detail

MEDICARE: MRS. KARIN ELIZABETH MONGER DPT

MEDICARE:  MRS. KARIN ELIZABETH MONGER  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 Therapist4946346-2401UT
2225100000XPhysical Therapist5174OR

General Provider Information

NPI Number : 1205829470
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. KARIN ELIZABETH MONGER DPT
Provider Business Mailing Address
First Line : PO BOX 2439
Second Line :
City : REDMOND
State : OR
Zip : 97756-0551
Country : US
Telephone Number : 541-475-1218
Fax Number : 541-475-7647
Provider Business Practice Location Address
First Line : 230 SW 5TH ST
Second Line :
City : MADRAS
State : OR
Zip : 97741-1341
Country : US
Telephone Number : 541-475-1218
Fax Number : 541-475-7647
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/23/2005
Last Update Date : 10/12/2008

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Directions to “ MRS. KARIN ELIZABETH MONGER DPT” Practice Location

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