Jason Anderson, PT, DPT
Individual provider Active NPI Physical Therapist · Camas, WA
NPI 1922408491 · NPPES record last updated Sep 2, 2014
Key facts
- NPI
- 1922408491
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- PT 60479985 (WA)
- Practice address
- 740 NE Dallas St
Camas, WA 98607-2058 - Phone
- (360) 834-5055
- NPI assigned
- Sep 2, 2014
- 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 |
|---|---|---|---|
| PT 60479985 | WA | MD | Physical Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT 60479985 | WA | Yes |
Addresses
Primary practice location
740 NE Dallas St
Camas, WA 98607-2058
Mailing address
25117 SW Parkway Ave Ste D
Wilsonville, OR 97070-9697
Phone (503) 570-3665
Other providers in Camas, WA
- Trevor W. Allen
- Rachel Rose Anagnostou
- Peggy Lou Anne Anderson-Deardorff
- Carrie Rene Anderson
- Jami Tennile Anderson
- Jeffrey Alan Anderson
- Teri L Anderson
- Amanda Anstead
- Assisted Living Concepts Inc
- Assisted Living Concepts, LLC
All providers in Camas, WA · Physical Therapist in Washington
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 2, 2014. 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.