Doctor Name: | GARY DOUGLAS KEOWN |
NPI Number: | 1194708057 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PHYSICAL THERAPIST |
License Number: | 0852 |
Business Practice Address: | 68643 Highway 20 Tai Central Oregon Sisters Sisters, OR - 977591947 |
Business Phone Number: | 5418493574 |
Business Fax Number: | 5413887785 |
Mailing Address: | 16083 Sw Upper Boones Ferry Rd, Ste 300 TIGARD |
State: | OR |
Postal Code: | 972247736 |
Phone Number: | 8002198835 |
Fax Number: | 5036399699 |
NPI Enumeration Date: | 11/23/2005 |
NPI Last Update Date: | 11/09/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 0852 |
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 |