Doctor Name: | MICHAEL OXENTENKO |
NPI Number: | 1558487116 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | |
License Number: | 1040 |
Business Practice Address: | 5905 Se Powell Valley Rd Gresham, OR - 970801919 |
Business Phone Number: | 5036651151 |
Business Fax Number: | 5036691986 |
Mailing Address: | 43131 Se Music Camp Rd, SANDY |
State: | OR |
Postal Code: | 970558463 |
Phone Number: | 5036651151 |
Fax Number: | 5036691986 |
NPI Enumeration Date: | 03/22/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 1040 |
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 |