Individual
MICHAEL P FOSTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
2846 EBERLEIN AVE, KLAMATH FALLS, OR 97603-4402
(541) 850-8909
(541) 882-4005
Mailing address
2846 EBERLEIN AVE, KLAMATH FALLS, OR 97603-4402
(541) 850-8909
(541) 882-4005
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5424
OR
225100000X
Physical Therapist
6085
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
840161007
BLUE CROSS
OR
Enumeration date
03/20/2007
Last updated
03/05/2008
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