Harmon-Provost, Linda Kay

Harmon-Provost, Linda Kay is an individual health care provider with primary practice located at 19250 Sw 65Th Ave Medical Plaza #1 Suite 125, Tualatin OR 97062-7452. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics, which is considered as her primary health care specialty. Harmon-Provost, Linda Kay can be contacted via phone (503) 692-1670.

Contact Information

Primary practice address
19250 Sw 65Th Ave Medical Plaza #1 Suite 125 Tualatin OR 97062-7452
Phone: (503) 692-1670
Fax: (503) 692-1669
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics 2251P0200X PT3258 Oregon

Profile Details

NPI number 1457689044
LBN Legal business name Harmon-Provost, Linda Kay
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 19th, 2009
Last updated Nov 19th, 2009 - about 16 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 1457689044 NPPES
Oregon Other 3258 OREGON PT LICENSE
Oregon MEDICAID PENDING OREGON PT LICENSE

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