Donato, Edsen

Donato, Edsen is an individual health care provider with primary practice located at 1701 Nw Hawthorne Ave #103, Grants Pass OR 97526-1257. He recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Hand. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist is his primary health care specialty. Donato, Edsen can be contacted via phone (541) 476-2502.

Contact Information

Primary practice address
1701 Nw Hawthorne Ave #103 Grants Pass OR 97526-1257
Phone: (541) 476-2502
Fax: (541) 476-2397
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 4306 Oregon
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Hand 2251H1200X 4306 Oregon
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Hand 2251H1200X

Profile Details

NPI number 1528044211
LBN Legal business name Donato, Edsen
Credentials PT, DSC, OCS, CHT
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 15th, 2005
Last updated Mar 7th, 2012 - about 13 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1528044211 NPPES
Oregon MEDICAID 269923

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