| Brian T Sundahl, DPT | |
|
19856 Se Highway 212, Damascus, OR 97089-5743 | |
| (417) 559-2627 | |
| (503) 386-2745 |
| Full Name | Brian T Sundahl |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist In Private Practice |
| Experience | 24 Years |
| Location | 19856 Se Highway 212, Damascus, Oregon |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790729952 | NPI | - | NPPES |
| 5743SU | Other | WA | REGENCE BLUESHIELD |
| 151355 | Other | WA | LABOR & INDUSTRIES |
| 8347015 | Medicaid | WA | |
| 8930584 | Other | WA | L&I CRIME VICTIMS PROGRAM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | PT00008548 (Washington) | Secondary |
| 225100000X | Physical Therapist | 5367 (Oregon) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Endeavor Physical Therapy Inc | 1153427067 | 2 |
| Provider Name | Endeavor Physical Therapy Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1457577553 PECOS PAC ID: 1153427067 Enrollment ID: O20090714000500 |
| Mailing Address | Practice Location Address |
|---|---|
| Brian T Sundahl, DPT 372 South Broadway, Estacada, OR 97023 Ph: (503) 630-5314 | Brian T Sundahl, DPT 19856 Se Highway 212, Damascus, OR 97089-5743 Ph: (417) 559-2627 |
Caitlin Maxson, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 12948 Se Winston Rd, Damascus, OR 97089 Phone: 503-208-6278 | |
Rachel Panetta, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 12948 Se Winston Rd, Damascus, OR 97089 Phone: 503-895-1320 | |
Endeavor Physical Therapy, Inc. Physical Therapist Medicare: Medicare Enrolled Practice Location: 19856 Se Highway 212, Damascus, OR 97089 Phone: 417-559-2627 Fax: 503-386-2745 | |
Justin Thomas Weatherford, PHYSICAL THERAPIST Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 9148 Se Hideaway Ct, Damascus, OR 97089 Phone: 503-666-4505 | |
Kenneth Cox, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 22304 Se Sharon Dr, Damascus, OR 97089 Phone: 503-318-3991 |