Provider Demographics
NPI:1477007854
Name:PIRTTIMA, ANDREW REED (PT)
Entity Type:Individual
Prefix:
First Name:ANDREW
Middle Name:REED
Last Name:PIRTTIMA
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:25030 SW PARKWAY AVE
Mailing Address - Street 2:SUITE 101
Mailing Address - City:WILSONVILLE
Mailing Address - State:OR
Mailing Address - Zip Code:97070-9816
Mailing Address - Country:US
Mailing Address - Phone:503-582-1073
Mailing Address - Fax:
Practice Address - Street 1:25030 SW PARKWAY AVE
Practice Address - Street 2:SUITE 101
Practice Address - City:WILSONVILLE
Practice Address - State:OR
Practice Address - Zip Code:97070-9816
Practice Address - Country:US
Practice Address - Phone:503-582-1073
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-08-15
Last Update Date:2017-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist