| Ruth Marian Blake, PT | |
|
1027 Nw Norman Ave, Gresham, OR 97030-5551 | |
| (971) 362-3288 | |
| Not Available |
| Full Name | Ruth Marian Blake |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist |
| Location | 1027 Nw Norman Ave, Gresham, Oregon |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427572478 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 62268 (Oregon) | Primary |
| Provider Name | Therapeutic Associates Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1972589364 PECOS PAC ID: 0042116279 Enrollment ID: O20040205000432 |
| Provider Name | Beyond The Clinic Pc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1225278682 PECOS PAC ID: 4587711999 Enrollment ID: O20090421000638 |
| Mailing Address | Practice Location Address |
|---|---|
| Ruth Marian Blake, PT 1027 Nw Norman Ave, Gresham, OR 97030-5551 Ph: (971) 362-3288 | Ruth Marian Blake, PT 1027 Nw Norman Ave, Gresham, OR 97030-5551 Ph: (971) 362-3288 |
Namita Avarsekar, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 304 Ne Hood Ave, Gresham, OR 97030 Phone: 503-666-1333 Fax: 503-666-2444 | |
Paul Song Eo, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 24076 Se Stark St Ste 200, Gresham, OR 97030 Phone: 503-491-1666 | |
Mr. Clem George Eischen Jr., PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 24076 Se Stark St, Gresham, OR 97030 Phone: 503-491-1666 | |
Kaeli Frank, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 7927 Se Orient Dr, Gresham, OR 97080 Phone: 503-663-0481 | |
Stacia Akers, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 24800 Se Stark St, Gresham, OR 97030 Phone: 503-413-3879 Fax: 503-413-4379 | |
Debra Magnani, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 270 Nw Burnside Rd, Gresham, OR 97030 Phone: 503-215-9141 | |
Kimberly Do, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 831 Nw Council Dr Ste 200, Gresham, OR 97030 Phone: 714-902-5157 |