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NPI Code Detail

MEDICARE: MRS. JODIE L PASCHALL-MAJERUS PT

MEDICARE: MRS. JODIE L PASCHALL-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 Therapist2500OR
2225100000XPhysical Therapist7571WA

Other Identifiers

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

General Provider Information

NPI Number : 1750340337
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. JODIE L PASCHALL-MAJERUS PT
Provider Business Mailing Address
First Line : 16219 SE 12TH ST
Second Line : #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 : #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 : 03/21/2006
Last Update Date : 10/13/2009

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