Mendelson, Bruce

Mendelson, Bruce is an individual health care provider with primary practice located at 849 Ne 7Th Street Tai Grants Pass, 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. Mendelson, Bruce can be contacted via phone (541) 479-0765.

Contact Information

Primary practice address
849 Ne 7Th Street Tai Grants Pass Grants Pass OR 97526-1634
Fax: (541) 479-3461
Website:

Profile Details

NPI number 1104808955
LBN Legal business name Mendelson, Bruce
Credentials MSPT
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 17th, 2005
Last updated Jul 8th, 2007 - about 18 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 1104808955 NPPES
Oregon MEDICAID 297999

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