Eric Scott Brown

Individual provider Active NPI Physical Therapy Assistant · Hermiston, OR

NPI 1083185334 · NPPES record last updated Dec 16, 2018

Key facts

NPI
1083185334
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapy Assistant 225200000X
License
P160388284 (WA)
Practice address
970 W Juniper Ave
Hermiston, OR 97838-2118
Phone
(541) 567-8337
NPI assigned
Dec 16, 2018
Sex
Male
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
P160388284WAMDPhysical Therapy Assistant

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X P160388284 WA Yes

Addresses

Primary practice location

970 W Juniper Ave
Hermiston, OR 97838-2118

Mailing address

8507 W 3Rd Ave
Kennewick, WA 99336-9421
Phone (360) 601-1916

Other providers in Hermiston, OR

All providers in Hermiston, OR · Physical Therapy Assistant in Oregon

Sources for this page

Verify at the official NPI Registry.