Ivan C Ames, CRT

Individual provider Active NPI Certified Respiratory Therapist · Clackamas, OR

NPI 1811216922 · NPPES record last updated May 31, 2010

Key facts

NPI
1811216922
Entity type
Individual (NPI type 1)
Primary specialty
Certified Respiratory Therapist 227800000X
License
RT-P-10132099 (OR)
Practice address
10184 SE Talbert St
Clackamas, OR 97015-8666
Phone
(206) 617-1523
NPI assigned
May 28, 2010
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

LicenseStateTypeSpecialty
RT-P-10132099ORMDCertified Respiratory Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Respiratory Therapist 227800000X RT-P-10132099 OR Yes

Addresses

Primary practice location

10184 SE Talbert St
Clackamas, OR 97015-8666

Mailing address

10180 SE Sunnyside Rd
Clackamas, OR 97015-8970
Phone (503) 652-2880

Other providers in Clackamas, OR

All providers in Clackamas, OR · Certified Respiratory Therapist in Oregon

Sources for this page

Verify at the official NPI Registry.