Individual
DAVID BERRIS STANDIFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHYSICAL THERAPIST
Contact information
Practice address
1249 PLAZA BLVD, SUITE F, CENTRAL POINT, OR 97502-2670
(541) 664-2800
(541) 664-0555
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
1800
OR
225100000X
Physical Therapist
PT00003465
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
014345
—
OR
01
—
650022829
RAILROAD
OR
Enumeration date
11/23/2005
Last updated
11/12/2012
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