NPI 1922408491 · live from the CMS NPI Registry
Jason Anderson, PT, DPT
Physical Therapist in Camas, WA. National Provider Identifier 1922408491, active.
NPI record
| NPI | 1922408491 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Physical Therapist 225100000X |
| Practice location | 740 Ne Dallas St, Camas, WA 98607 |
| Practice phone | 360-834-5055 |
| Mailing address | 25117 Sw Parkway Ave Ste D, Wilsonville, OR 97070 |
| Enumerated | September 2, 2014 |
| Last updated | September 2, 2014 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physical Therapist primary | 225100000X | PT 60479985 (WA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.