Doctor Name: | CRAIG ANDREW BOSWELL |
NPI Number: | 1003891557 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PT |
License Number: | 4247 |
Business Practice Address: | 61615 Athletic Club Drive Bend, OR - 977023124 |
Business Phone Number: | 5413827890 |
Business Fax Number: | 5413827498 |
Mailing Address: | 16083 Sw Upper Boones Ferry Rd, Suite 300 TIGARD |
State: | OR |
Postal Code: | 972247736 |
Phone Number: | 8002198835 |
Fax Number: | 5036399699 |
NPI Enumeration Date: | 12/07/2005 |
NPI Last Update Date: | 01/28/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 4247 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OR |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |