Artur Azizkhanian
Individual provider Active NPI Physical Therapy Assistant · Milwaukie, OR
NPI 1992268007 · NPPES record last updated Apr 8, 2019
Key facts
- NPI
- 1992268007
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapy Assistant 225200000X
- License
- 49107 (CA)
- Practice address
- 4560 SE International Way
Milwaukie, OR 97222-4628 - Phone
- (406) 599-2120
- NPI assigned
- Apr 8, 2019
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|
| 49107 | CA | MD | Marriage & Family Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 49107 | CA | Yes |
Addresses
Primary practice location
4560 SE International Way
Milwaukie, OR 97222-4628
Mailing address
5240 Sepulveda Blvd
Culver City, CA 90230-5214
Phone (310) 391-7266
Other providers in Milwaukie, OR
- Allison Deborah Austad
- Kayla Inman Austin
- Lacy Jo Avera
- Michelle Averill
- Ashley Nicole Avila
- B & B Residential Care Services, LLC
- Amber Johnson Babar
- Daya Babariya
- Jessica Bach
- Thomas Edward Bachhuber Jr.
All providers in Milwaukie, OR · Physical Therapy Assistant in Oregon
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 8, 2019. 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.