| Doctor Name: | RENAN LACSON GAPASIN |
| NPI Number: | 1114249851 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | |
| License Number: | 5572 |
| Business Practice Address: | 1951 21st St Florence, OR - 974399771 |
| Business Phone Number: | 5419978436 |
| Business Fax Number: | |
| Mailing Address: | 4480 Highway 101, Apt 13 FLORENCE |
| State: | OR |
| Postal Code: | 974398831 |
| Phone Number: | 3609801647 |
| Fax Number: | |
| NPI Enumeration Date: | 02/23/2010 |
| NPI Last Update Date: | 02/23/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | 5572 |
| 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 |