Judith Leslie English, OTR
Individual provider Active NPI Specialist · Philomath, OR
NPI 1003942293 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1003942293
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Specialist 174400000X
- License
- 153888 (OR)
- Practice address
- 111 N 20TH St
Philomath, OR 97370-9621 - Phone
- (541) 368-4313
- Fax
- (541) 929-4967
- NPI assigned
- Feb 24, 2007
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 153888 | OR | MD | Specialist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 153888 | OR | Yes |
Addresses
Primary practice location
111 N 20TH St
Philomath, OR 97370-9621
Mailing address
815 NW James Ave
Corvallis, OR 97330-9731
Phone (541) 754-8090
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 15388 | Other | OR | STATE LICENSE |
Other names
- Judith Leslie Hopkins
Other providers in Philomath, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.