MEDICARE: JUDY ELIZABETH SPANIOL TURNER 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	1499	OR
2	225100000X	Physical Therapist	PT00005205	WA

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

General Provider Information

NPI Number	:	1750365789
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JUDY ELIZABETH SPANIOL TURNER PT

Provider Business Mailing Address
First Line	:	14230 NE MILTON ST
Second Line	:
City	:	PORTLAND
State	:	OR
Zip	:	97230-3641
Country	:	US
Telephone Number	:	503-256-7800
Fax Number	:

Provider Business Practice Location Address
First Line	:	2230 NW PETTYGROVE ST STE 140
Second Line	:
City	:	PORTLAND
State	:	OR
Zip	:	97210-2688
Country	:	US
Telephone Number	:	503-512-0228
Fax Number	:

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

Provider Enumeration Date	:	12/02/2005
Last Update Date	:	07/31/2025

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