Provider Demographics
NPI:1538674296
Name:KROTSER, CHELSEA (DPT)
Entity Type:Individual
Prefix:
First Name:CHELSEA
Middle Name:
Last Name:KROTSER
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 1:5253 NE SANDY BLVD
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97213-2562
Mailing Address - Country:US
Mailing Address - Phone:503-766-4881
Mailing Address - Fax:503-489-1650
Practice Address - Street 1:5253 NE SANDY BLVD
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97213-2562
Practice Address - Country:US
Practice Address - Phone:503-893-5131
Practice Address - Fax:503-914-0923
Is Sole Proprietor?:No
Enumeration Date:2017-12-04
Last Update Date:2022-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR62432225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist