NPI 1205105202 · live from the CMS NPI Registry
Daniel Stephen Anderson, DPT
Physical Therapist in Portland, OR. National Provider Identifier 1205105202, active.
NPI record
| NPI | 1205105202 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Physical Therapist 225100000X |
| Practice location | 12651 Se Lincoln St, Portland, OR 97233 |
| Practice phone | 425-891-3538 |
| Enumerated | December 20, 2011 |
| Last updated | October 10, 2023 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physical Therapist primary | 225100000X | 65098 (OR) |
| Physical Therapist | 225100000X | PT60257881 (WA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.