| Doctor Name: | BEN PAUL MUSHOLT |
| NPI Number: | 1437302775 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | P.T. |
| License Number: | 04301 |
| Business Practice Address: | 10600 Se Mcloughlin Blvd Suite 202 Milwaukie, OR - 972227428 |
| Business Phone Number: | 5034960385 |
| Business Fax Number: | 8666319368 |
| Mailing Address: | Po Box 22499, MILWAUKIE |
| State: | OR |
| Postal Code: | 972692499 |
| Phone Number: | 5034960385 |
| Fax Number: | |
| NPI Enumeration Date: | 10/30/2008 |
| NPI Last Update Date: | 05/04/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | 04301 |
| 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 |