Doctor Name: | BRIAN DAVID EUBANKS |
NPI Number: | 1346218831 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | P.T. |
License Number: | 4138 |
Business Practice Address: | 10466 Se Main St Milwaukie, OR - 972227509 |
Business Phone Number: | 5033539976 |
Business Fax Number: | 5033539777 |
Mailing Address: | 101 S State St, Suite 200g LAKE OSWEGO |
State: | OR |
Postal Code: | 970343900 |
Phone Number: | 5038606242 |
Fax Number: | |
NPI Enumeration Date: | 03/09/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 4138 |
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 |