Medley, Dennis Lee

Medley, Dennis Lee is an individual health care provider with primary practice located at 849 Ne 7Th St , Grants Pass OR 97526-1634. 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. Medley, Dennis Lee can be contacted via phone (541) 479-0765.

Contact Information

Primary practice address
849 Ne 7Th St Grants Pass OR 97526-1634
Phone: (541) 479-0765
Fax: (541) 479-3461
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 0211 Oregon

Profile Details

NPI number 1770567174
LBN Legal business name Medley, Dennis Lee
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 30th, 2005
Last updated Nov 9th, 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 1770567174 NPPES
Oregon Other 650008939 RR MEDICARE

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