| Mitchell V Prunk, DPT | |
|
400 Hickory St Nw Ste 201, Albany, OR 97321-1700 | |
| (541) 812-5840 | |
| Not Available |
| Full Name | Mitchell V Prunk |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 400 Hickory St Nw Ste 201, Albany, Oregon |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215596101 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 63232 (Oregon) | Primary |
| Provider Name | Albany General Hospital |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1154372340 PECOS PAC ID: 9931097987 Enrollment ID: O20040310000310 |
| Mailing Address | Practice Location Address |
|---|---|
| Mitchell V Prunk, DPT Po Box 1189, Corvallis, OR 97339-1189 Ph: () - | Mitchell V Prunk, DPT 400 Hickory St Nw Ste 201, Albany, OR 97321-1700 Ph: (541) 812-5840 |
Patrick Hong Lok Luo, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1046 6th Ave Sw, Albany, OR 97321 Phone: 541-812-4160 | |
Amber Fleming, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3615 Spicer Dr Se, Albany, OR 97322 Phone: 541-967-7551 | |
Jessica Anne Reich, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 2853 Salem Ave Se, Albany, OR 97321 Phone: 541-223-9854 | |
Mr. Brad Boylan, ATC, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3705 Columbus St Se, Albany, OR 97322 Phone: 541-967-4522 | |
Trenton Jacob Tipton, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 1046 6th Ave Sw, Albany, OR 97321 Phone: 541-812-4000 | |
Christina Colleen Blohm, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 613 Hickory St Nw, Albany, OR 97321 Phone: 541-928-1411 | |
Cydne Salisbury, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1046 6th Ave Sw, Albany, OR 97321 Phone: 541-812-4160 |