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NPI Code Detail

MEDICARE: JOHN J MAJERUS PT

MEDICARE:   JOHN J MAJERUS  PT
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 Therapist7543WA
2225100000XPhysical Therapist3089OR

General Provider Information

NPI Number : 1205896354
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOHN J MAJERUS PT
Provider Business Mailing Address
First Line : 16219 SE 12TH ST
Second Line : SUITE 100
City : VANCOUVER
State : WA
Zip : 98683-8904
Country : US
Telephone Number : 360-253-4020
Fax Number : 360-604-9293
Provider Business Practice Location Address
First Line : 16219 SE 12TH ST
Second Line : SUITE 100
City : VANCOUVER
State : WA
Zip : 98683-8904
Country : US
Telephone Number : 360-253-4020
Fax Number : 360-604-9293
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/24/2006
Last Update Date : 10/15/2009

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Directions to “ JOHN J MAJERUS PT” Practice Location

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