Doctor Name: | ORION LAMBERT KOOISTRA |
NPI Number: | 1376854992 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | DPT |
License Number: | 6290 |
Business Practice Address: | 51385 Sw Old Portland Rd Ste E Scappoose, OR - 970564062 |
Business Phone Number: | 5035437768 |
Business Fax Number: | 5035437772 |
Mailing Address: | 51385 Sw Old Portland Rd Ste E, SCAPPOOSE |
State: | OR |
Postal Code: | 970564062 |
Phone Number: | 5035437768 |
Fax Number: | 5035437772 |
NPI Enumeration Date: | 06/29/2010 |
NPI Last Update Date: | 08/29/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 6290 |
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 |