Individual
KENNETH SCOTT CALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
1408 N LOUISIANA ST, STE 104 A, KENNEWICK, WA 99336-7167
(509) 783-1962
(509) 783-1706
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
3221
OR
225100000X
Physical Therapist
Primary
PT00006307
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1679557003
—
WA
01
—
650013327
RR
WA
05
—
8336646
—
WA
01
—
G8966495
MEDICARE
WA
Enumeration date
11/30/2005
Last updated
07/18/2017
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