Individual
MR. SCOTT BRYAN VANKAMPEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPT
Contact information
Practice address
996 NW CIRCLE BLVD, STE. 101, CORVALLIS, OR 97330-1485
(541) 757-0878
(541) 757-0879
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
017397
NY
225100000X
Physical Therapist
Primary
6166
OR
225100000X
Physical Therapist
PT60142849
WA
261QP2000X
Physical Therapy Clinic/Center
017397
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1619917127
—
WA
05
—
500662723
—
OR
01
—
P01153283
RR MEDICARE
OR
Enumeration date
06/07/2006
Last updated
05/16/2014
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