Active NPIIndividual provider

Douglas N Bennett, DPT, CSCS

Physical Therapist in Wilsonville, Oregon

NPI Number1770083446
Practice location
25030 SW Parkway Ave Ste 100, Wilsonville, OR 97070-9816
Fax
503-582-1093
Last updated
February 19, 2018

Douglas N Bennett, DPT, CSCS is a Physical Therapist based in Wilsonville, OR. Douglas N Bennett, DPT, CSCS holds the professional credentials of DPT, CSCS. The NPI number for Douglas N Bennett, DPT, CSCS is 1770083446 and holds license No. 62607 (OR). The current practice location address is 25030 SW Parkway Ave Ste 100, Wilsonville, OR 97070-9816 and the office can be reached by phone at 503-582-1073 and by fax at 503-582-1093. The NPI was assigned on February 19, 2018 and the record was last updated in NPPES on February 19, 2018.

●Provider Profile Details

NPI Number
1770083446
Provider Name
Douglas Noland Bennett
Credential
DPT, CSCS
Entity Type
Individual (Type 1 NPI)
Gender
Male
Primary Taxonomy
Physical Therapist · 225100000X
Sole Proprietor
No
Enumeration Date
February 19, 2018
Last Update Date
February 19, 2018
NPI Status
Active

◉Business Practice Location Address

Address
25030 SW Parkway Ave Ste 100
Wilsonville, OR 97070-9816
State
Oregon
ZIP
97070-9816
Country
US
Phone Number
503-582-1073
Fax Number
503-582-1093

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✉Business Mailing Address

Address
13525 SW Aragon St
Beaverton, OR 97005-0820
City
Beaverton
State
OR
ZIP
97005-0820
Phone Number
971-570-6818

✎Taxonomy & License Information

TaxonomyCodePrimaryLicenseState
Physical Therapist225100000XYes62607OR

#Other Provider Identifiers

No legacy or other 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 Douglas N Bennett, DPT, CSCS?

The NPI number of Douglas N Bennett, DPT, CSCS is 1770083446. It was assigned on February 19, 2018 and is currently active in the NPPES registry.

What is the specialty of Douglas N Bennett, DPT, CSCS?

Douglas N Bennett, DPT, CSCS is registered under the primary taxonomy Physical Therapist (code 225100000X) and holds license No. 62607 (OR).

Where does Douglas N Bennett, DPT, CSCS practice?

The practice location is 25030 SW Parkway Ave Ste 100, Wilsonville, OR 97070-9816. The office can be reached at 503-582-1073 (phone) or 503-582-1093 (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 1770083446 directly on the NPPES registry website at npiregistry.cms.hhs.gov.

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