Provider Demographics
NPI:1073168233
Name:HANKS, COURTNEY HELEN (DPT)
Entity Type:Individual
Prefix:
First Name:COURTNEY
Middle Name:HELEN
Last Name:HANKS
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:700 DEBORAH RD STE 190
Mailing Address - Street 2:
Mailing Address - City:NEWBERG
Mailing Address - State:OR
Mailing Address - Zip Code:97132-3075
Mailing Address - Country:US
Mailing Address - Phone:503-887-4061
Mailing Address - Fax:
Practice Address - Street 1:700 DEBORAH RD STE 190
Practice Address - Street 2:
Practice Address - City:NEWBERG
Practice Address - State:OR
Practice Address - Zip Code:97132-3075
Practice Address - Country:US
Practice Address - Phone:503-887-4061
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-08-05
Last Update Date:2023-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR63281225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist