Provider Demographics
NPI:1134289556
Name:EPSTEIN, DOROTHY (DPT)
Entity Type:Individual
Prefix:
First Name:DOROTHY
Middle Name:
Last Name:EPSTEIN
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 1:1130 NW 22ND AVE STE 345
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97210-2978
Mailing Address - Country:US
Mailing Address - Phone:503-413-7513
Mailing Address - Fax:503-413-7503
Practice Address - Street 1:2240 N INTERSTATE AVE STE 280
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97227-1773
Practice Address - Country:US
Practice Address - Phone:971-279-4268
Practice Address - Fax:971-223-7122
Is Sole Proprietor?:No
Enumeration Date:2006-12-08
Last Update Date:2019-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR5076225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist