Dimond, Donnel T
Dimond, Donnel T is an individual health care provider with primary practice located at 735 Sw 158Th Ave Ste 102, Beaverton OR 97006-4952. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Dimond, Donnel T can be contacted via phone (503) 597-0035.Contact Information
Primary practice address
735 Sw 158Th Ave Ste 102
Beaverton OR 97006-4952
Phone: (503) 597-0035
Fax: (503) 726-5490
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | PT4750 | Oregon |
Profile Details
| NPI number | 1558303073 |
|---|---|
| LBN Legal business name | Dimond, Donnel T |
| Credentials | Physical Therapist (PT) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 11th, 2006 |
| Last updated | Jul 21st, 2016 - about 9 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1558303073 | NPPES |
| Oregon | Other | 4750 | PT LICENSE NUMBER |
| Oregon | Other | 520244001 | PT LICENSE NUMBER |
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