Individual
MEGAN BREANNE SWIFT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
631 ELM ST SW, SUITE 205, ALBANY, OR 97321-1952
(541) 967-1224
(541) 967-2750
Mailing address
16083 SW UPPER BOONES FERRY RD, SUITE 300, TIGARD, OR 97224-7736
(800) 219-8835
(503) 639-9699
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
60290
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0330368
WA L&I
OR
01
—
0330369
WA L&I
OR
01
—
0330372
WA L&I
OR
05
—
1437581170
—
OR
05
—
500661176
—
OR
01
—
P01519085
RR MEDICARE
OR
Enumeration date
08/05/2013
Last updated
11/06/2015
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