Sherman H Hong, PT
Individual provider Active NPI Physical Therapist · Oakland, OR
NPI 1265797294 · NPPES record last updated Jul 5, 2012
Key facts
- NPI
- 1265797294
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 1584 (OR)
- Practice address
- 1354 Churchill Dr
Oakland, OR 97462-9500 - Phone
- (541) 680-5392
- NPI assigned
- Jul 5, 2012
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1584 | OR | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Integrated Health & Wellness, LLC | Physical Therapist | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 1584 | OR | Yes |
Addresses
Primary practice location
1354 Churchill Dr
Oakland, OR 97462-9500
Mailing address
1354 Churchill Dr
Oakland, OR 97462-9500
Phone (541) 680-5392
Other providers in Oakland, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 5, 2012. 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.