Provider Demographics
NPI:1306006291
Name:CLEMONS, NARI KAUR (PT)
Entity Type:Individual
Prefix:MRS
First Name:NARI
Middle Name:KAUR
Last Name:CLEMONS
Suffix:
Gender:F
Credentials:PT
Other - Prefix:MRS
Other - First Name:NARINDER
Other - Middle Name:KAUR
Other - Last Name:CLEMONS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT
Mailing Address - Street 1:560 NW 87TH TER
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97229-6419
Mailing Address - Country:US
Mailing Address - Phone:971-284-2062
Mailing Address - Fax:888-447-0339
Practice Address - Street 1:560 NW 87TH TER
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97229-6419
Practice Address - Country:US
Practice Address - Phone:971-284-2062
Practice Address - Fax:888-447-0339
Is Sole Proprietor?:No
Enumeration Date:2008-06-13
Last Update Date:2020-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR61957225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist