Ethan Akers, | |
308 N Ivy St, Canby, OR 97013-3704 | |
(503) 263-6786 | |
Not Available |
Full Name | Ethan Akers |
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Gender | Male |
Speciality | Physical Therapist |
Location | 308 N Ivy St, Canby, Oregon |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1942015466 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 65614 (Oregon) | Primary |
Provider Name | New Proactive Llc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1396273199 PECOS PAC ID: 7315218708 Enrollment ID: O20170901001937 |
Mailing Address | Practice Location Address |
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Ethan Akers, 1650 Lyndon Farm Ct Ste 300, Louisville, KY 40223-5005 Ph: (726) 202-3039 | Ethan Akers, 308 N Ivy St, Canby, OR 97013-3704 Ph: (503) 263-6786 |
Ms. Dana F Van Der Kieft, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 308 N Ivy St, Canby, OR 97013 Phone: 503-263-6786 Fax: 503-263-6451 | |
Ms. Jessica Ellen Karlson, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1577 South Ivy St., Canby, OR 97013 Phone: 503-266-5541 Fax: 503-266-5544 | |
Mr. Tyler Marc Bohnet, MPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 308 N Ivy St, Canby, OR 97013 Phone: 503-263-6786 Fax: 503-263-6451 | |
Christian Ricardo Miranda, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 200 S Hazel Dell Way Ste 210, Canby, OR 97013 Phone: 503-263-9550 | |
Kristin Jane Zosel, MS PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 308 N Ivy St, Canby, OR 97013 Phone: 503-263-6786 Fax: 503-263-6451 | |
Jennifer Bissig, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 365 S Redwood St, Canby, OR 97013 Phone: 503-651-2020 | |
Kendra Shaun Martin, MSPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1535 S Ivy St, Canby, OR 97013 Phone: 503-266-5541 |