- Practice location
- 4876 NW Bethany Blvd, Suite L-1, Portland, OR 97229-9259
- Phone
- 503-466-2254
- Fax
- 503-466-1143
- Last updated
- December 19, 2016
Michael Deegan is a Physical Therapist based in Portland, OR. Michael Deegan practices in Portland, OR and has the professional credentials of PT. The NPI Number for Michael Deegan is 1710936794 and holds a License No. 5140 (OR). The current practice location address for Michael Deegan is 4876 NW Bethany Blvd, Suite L-1, Portland, OR 97229-9259 and can be reached out via phone at 503-466-2254 and via fax at 503-466-1143.
Provider Profile Details
- NPI Number
- 1710936794
- Provider Name
- Michael Deegan
- Credential
- PT
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 4876 NW Bethany Blvd, Suite L-1, Portland, OR 97229-9259
- Phone Number
- 503-466-2254
- Fax Number
- 503-466-1143
- Primary Taxonomy
- Physical Therapist · 225100000X
- Sole Proprietor
- No
- Provider Enumeration Date
- May 8, 2006
- Last Update Date
- December 19, 2016
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 4876 NW Bethany Blvd
Suite L-1
Portland, OR 97229-9259 - City
- Portland
- State
- Oregon
- Zip
- 97229-9259
- Phone Number
- 503-466-2254
- Fax Number
- 503-466-1143
Provider Business Mailing Address Details
- Address
- 16083 SW Upper Boones Ferry RD
Suite 300
Tigard, OR 97224-7736 - City
- Tigard
- State
- OR
- Zip
- 97224-7736
- Phone Number
- 800-219-8835
- Fax Number
- 503-639-9699
License Information
- License Number
- 5140
- License State
- OR
- Taxonomy
- Physical Therapist · 225100000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Michael Deegan, PT?
The NPI number of Michael Deegan, PT is 1710936794. It was assigned on May 8, 2006 and is currently active in the NPPES registry.
What is the specialty of Michael Deegan, PT?
Michael Deegan, PT is registered under the primary taxonomy Physical Therapist (code 225100000X), licensed in OR under license number 5140.
Where does Michael Deegan, PT practice?
The practice location is 4876 NW Bethany Blvd, Suite L-1, Portland, OR 97229-9259. The office can be reached at 503-466-2254 (phone) or 503-466-1143 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1710936794 directly on the NPPES registry website.