| Providence Rehab Services-camas | |
|
3101 Se 192nd Ave, Suite 104, Vancouver, WA 98683-1442 | |
| (360) 553-7480 | |
| (360) 553-7485 |
| Full Name | Providence Rehab Services-camas |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 3101 Se 192nd Ave, Vancouver, Washington |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104109677 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | (Washington) | Primary |
| 225X00000X | Occupational Therapist | (Washington) | Secondary |
| 235Z00000X | Speech-language Pathologist | (Wisconsin) | Secondary |
| Provider Name | Heidi L Kjos |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1124015433 PECOS PAC ID: 6103007646 Enrollment ID: I20110216001044 |
| Provider Name | Barbara J Carter |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1134412141 PECOS PAC ID: 2961679048 Enrollment ID: I20120320000781 |
| Provider Name | Kendra Jayne Wilks |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1609828474 PECOS PAC ID: 3173818200 Enrollment ID: I20160829000199 |
| Provider Name | Samuel Huie |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1063921807 PECOS PAC ID: 2264790088 Enrollment ID: I20171227000315 |
| Mailing Address | Practice Location Address |
|---|---|
| Providence Rehab Services-camas Po Box 3395, Portland, OR 97208-3395 Ph: (503) 215-4323 | Providence Rehab Services-camas 3101 Se 192nd Ave, Suite 104, Vancouver, WA 98683-1442 Ph: (360) 553-7480 |
Mr. Chi Yol Pak, P.T. Physical Therapist Medicare: Medicare Enrolled Practice Location: 1510 Se 97th Ave, Vancouver, WA 98664 Phone: 360-936-1557 | |
Brenda Zink, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 916 Ne 112th Ave Ste 105, Vancouver, WA 98684 Phone: 360-567-2002 | |
Bryce P Schuster, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 805 Broadway St, Vancouver, WA 98660 Phone: 360-823-0138 Fax: 360-823-0141 | |
Amanda L Swearingen, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: Balanced Physical Therapy, 900 Ne 139th St Ste 102, Vancouver, WA 98685 Phone: 360-575-3611 Fax: 360-573-3880 | |
Brian Schreck, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 201 Ne Park Plaza Dr, Suite 246, Vancouver, WA 98684 Phone: 360-696-1070 Fax: 360-737-0200 | |
Mr. Daniel F. L. Bisner I, Physical Therapist Medicare: Medicare Enrolled Practice Location: 900 Ne 139th St Ste 102, Vancouver, WA 98685 Phone: 360-573-3611 Fax: 360-573-3880 | |
Jacob Christopher Burggraff, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 7409 Ne Hazel Dell Ave Ste 112, Vancouver, WA 98665 Phone: 360-597-4048 |