Individual
KEVIN FOSTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
2635 NW ROLLING GREEN DR, CORVALLIS, OR 97330-3519
(541) 753-4246
Mailing address
2635 NW ROLLING GREEN DR, CORVALLIS, OR 97330-3519
(541) 752-0545
(541) 757-0545
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501010806
MI
Other
Enumeration date
03/27/2018
Last updated
01/19/2022
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