Individual
EMILY ANNE BAUGHMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHYSICAL THERAPIST
Contact information
Practice address
2728 PHEASANT BLVD, STE 100, SPRINGFIELD, OR 97477-7509
(541) 736-8870
(541) 736-8860
Mailing address
16083 SW UPPER BOONES FERRY RD, STE 300, TIGARD, OR 97224-7736
(800) 219-8835
(503) 443-1402
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
3961
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
026510
—
OR
01
—
139877
WASHINGTON L&I
OR
05
—
226348
—
OR
01
—
650019447
RR MEDICARE
OR
Enumeration date
03/01/2006
Last updated
10/29/2012
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