Individual
DAVID ALLEN DEPPELER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
4829 NE MARTIN LUTHER KING BLVD, STE 101, PORTLAND, OR 97211-3351
(503) 283-8133
(503) 289-2312
Mailing address
16083 SW UPPER BOONES FERRY RD, STE 300, TIGARD, OR 97224-7736
(800) 219-8835
(503) 639-9699
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2038
OR
225100000X
Physical Therapist
3793
WI
225100000X
Physical Therapist
PT00006055
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0182472
WASHINGTON L&I
OR
05
—
022256
—
OR
Enumeration date
01/17/2006
Last updated
11/02/2012
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