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Individual

DANE A HAPPENY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PT, DPT, OCS, CF-L1

Contact information

Practice address
1122 NE 2ND ST, CORVALLIS, OR 97330-6227
(541) 261-9451
(541) 757-0545
Mailing address
1122 NE 2ND ST, CORVALLIS, OR 97330-6227
(541) 261-9451
(541) 757-0545

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
T60359
OR

Other

Enumeration date
11/06/2013
Last updated
04/13/2023
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