Provider Demographics
NPI:1518127844
Name:MCDARBY, DAVID PATRICK (PT)
Entity Type:Individual
Prefix:
First Name:DAVID
Middle Name:PATRICK
Last Name:MCDARBY
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 1:1525 MONMOUTH ST
Mailing Address - Street 2:
Mailing Address - City:INDEPENDENCE
Mailing Address - State:OR
Mailing Address - Zip Code:97351-1007
Mailing Address - Country:US
Mailing Address - Phone:503-838-0001
Mailing Address - Fax:503-838-7826
Practice Address - Street 1:1525 MONMOUTH ST
Practice Address - Street 2:
Practice Address - City:INDEPENDENCE
Practice Address - State:OR
Practice Address - Zip Code:97351-1007
Practice Address - Country:US
Practice Address - Phone:503-838-0001
Practice Address - Fax:503-838-7826
Is Sole Proprietor?:No
Enumeration Date:2008-06-10
Last Update Date:2008-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR4896225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist