Individual
LINDA KAY HARMON-PROVOST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
19250 SW 65TH AVE, MEDICAL PLAZA #1 SUITE 125, TUALATIN, OR 97062-7452
(503) 692-1670
(503) 692-1669
Mailing address
PO BOX 4037, PORTLAND, OR 97208-4037
(503) 413-4048
(503) 413-2910
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
PT3258
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3258
OREGON PT LICENSE
OR
05
—
PENDING
—
OR
Enumeration date
11/19/2009
Last updated
11/19/2009
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us