Provider Demographics
NPI:1003084922
Name:OCONNOR, JANET R (RPT)
Entity Type:Individual
Prefix:
First Name:JANET
Middle Name:R
Last Name:OCONNOR
Suffix:
Gender:F
Credentials:RPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:862 SE OAK ST
Mailing Address - Street 2:SUITE 2A
Mailing Address - City:HILLSBORO
Mailing Address - State:OR
Mailing Address - Zip Code:97123-4240
Mailing Address - Country:US
Mailing Address - Phone:503-844-6565
Mailing Address - Fax:503-844-4225
Practice Address - Street 1:862 SE OAK ST
Practice Address - Street 2:SUITE 2A
Practice Address - City:HILLSBORO
Practice Address - State:OR
Practice Address - Zip Code:97123-4240
Practice Address - Country:US
Practice Address - Phone:503-844-6565
Practice Address - Fax:503-844-4225
Is Sole Proprietor?:No
Enumeration Date:2008-02-13
Last Update Date:2008-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR1997225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist