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NPI Code Detail

MEDICARE: PHILIP OWSLEY

MEDICARE: PHILIP OWSLEY
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
1225200000XPhysical Therapy AssistantP160498378WA

General Provider Information

NPI Number : 1477927416
Entity Type Code : Individual
Provider Name (Legal Business Name) : PHILIP OWSLEY
Provider Business Mailing Address
First Line : 4560 SE INTERNATIONAL WAY
Second Line : #100
City : PORTLAND
State : OR
Zip : 97222-4628
Country : US
Telephone Number : 971-206-5202
Fax Number :
Provider Business Practice Location Address
First Line : 2800 S 224TH ST
Second Line :
City : DES MOINES
State : WA
Zip : 98198-5132
Country : US
Telephone Number : 206-824-0600
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/13/2015
Last Update Date : 11/13/2015

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Directions to “ PHILIP OWSLEY ” Practice Location

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