Fishers Landing Physical Therapy
Organization Active NPI Physical Therapist · Vancouver, WA
NPI 1962438424 · NPPES record last updated Aug 9, 2007
Key facts
- NPI
- 1962438424
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Physical Therapist 225100000X
- License
- 17866 (WA)
- Legal business name
- FISHERS LANDING PHYSICAL THERAPY
- Practice address
- 3200 SE 164TH Ave
Suite 101
Vancouver, WA 98683-1107 - Phone
- (360) 882-6997
- Fax
- (360) 882-4132
- NPI assigned
- Jun 24, 2006
- Organization subpart
- No
Authorized official
- Name
- Donald Roy Baas, P.T.
- Title
- Co-Owner Physical Therapist
- Phone
- (530) 221-9952
Subparts reporting this organization as parent 1
Practitioners 2
-
Donald Roy Baas, P.T.
-
Reid J Patterson, PT
National Provider Directory
Locations
3200 SE 164th Ave
Ste 101
Vancouver, WA 98683
Phone (360) 882-6767
3307 Evergreen Way
Ste 704
Washougal, WA 98671
Phone (360) 335-1107
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist |
225100000X | 17866 | WA | Yes |
Addresses
Primary practice location
3200 SE 164TH Ave
Suite 101
Vancouver, WA 98683-1107
Mailing address
PO Box 493396
Redding, CA 96049-3396
Phone (530) 221-9952
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7115371 | Medicaid | WA |
Other providers in Vancouver, WA
- Stacy J Fisher
- Victoria Fisher
- Wendy J Fisher
- Fishers Landing Chiropractic Clinic
- Fishers Landing Internal Medicine
- Fishers Landing Urgent & Family Care
- Jessica Fitch
- Makayla Fitchett
- Amanda June Fitt
- Jocelyn Fitzgerald
All providers in Vancouver, 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 Aug 9, 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.