Provider Demographics
NPI:1518145796
Name:BISSIG, DENNIS CHRISTOPHER (DPT)
Entity Type:Individual
Prefix:MR
First Name:DENNIS
Middle Name:CHRISTOPHER
Last Name:BISSIG
Suffix:
Gender:M
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:255 SW HARRISON ST
Mailing Address - Street 2:26A
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97201-5338
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:255 SW HARRISON ST
Practice Address - Street 2:26A
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97201-5338
Practice Address - Country:US
Practice Address - Phone:773-744-6582
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-02-09
Last Update Date:2008-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist