MEDICARE: JOSEPH ARTHUR CHRISTIAN 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
1	225100000X	Physical Therapist	PT00004086	WA
2	225100000X	Physical Therapist	01630	MO

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1447234943
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOSEPH ARTHUR CHRISTIAN PT

Provider Business Mailing Address
First Line	:	11481 SW HALL BLVD
Second Line	:	STE 201 THERAPEUTIC ASSOCIATES INC
City	:	PORTLAND
State	:	OR
Zip	:	97223-8403
Country	:	US
Telephone Number	:	800-219-8835
Fax Number	:	503-443-1402

Provider Business Practice Location Address
First Line	:	5420 BARNES AVE NW
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98107-3839
Country	:	US
Telephone Number	:	206-789-7975
Fax Number	:	206-782-6177

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/30/2005
Last Update Date	:	05/04/2011

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Directions to “ JOSEPH ARTHUR CHRISTIAN PT” Practice Location

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