Brian Edward Anderson, MPT
Individual provider Active NPI Physical Therapist · Milwaukie, OR
NPI 1235319641 · NPPES record last updated Nov 14, 2007
Key facts
- NPI
- 1235319641
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 1296 (NV)
- Practice address
- 4560 SE International Way
Suite 100 Consonus Healthcare Services
Milwaukie, OR 97222 - Phone
- (971) 206-5149
- Fax
- (971) 206-5209
- NPI assigned
- Nov 14, 2007
- Sex
- Male
- 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 |
|---|---|---|---|
| 1296 | NV | MD | Physical Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 1296 | NV | Yes |
Addresses
Primary practice location
4560 SE International Way
Suite 100 Consonus Healthcare Services
Milwaukie, OR 97222
Mailing address
4560 SE International Way
Suite 100 Consonus Healthcare Services
Milwaukie, OR 97222
Phone (971) 206-5149
Other providers in Milwaukie, OR
- Erin Amick
- Paula Jean Amyx
- Anahata Acupuncture NW
- Anahata Medicine
- Anthony D Anderson
- Corinne J Anderson
- Corrie Ann Anderson
- Ellen Irene Anderson
- Linda Joy Anderson
- Margaret Anderson
All providers in Milwaukie, OR · Physical Therapist in Oregon
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 14, 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.