Provider Demographics
NPI:1558348912
Name:SALZMAN, ARIEL ZITA (DPT)
Entity Type:Individual
Prefix:DR
First Name:ARIEL
Middle Name:ZITA
Last Name:SALZMAN
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 1:4424 SW MARIGOLD ST
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97219-5226
Mailing Address - Country:US
Mailing Address - Phone:503-867-6082
Mailing Address - Fax:
Practice Address - Street 1:6651 SW CAPITOL HWY
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97219-1914
Practice Address - Country:US
Practice Address - Phone:503-451-3750
Practice Address - Fax:503-245-4233
Is Sole Proprietor?:No
Enumeration Date:2005-12-28
Last Update Date:2018-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR5016225100000X, 208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation
No225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
ORR150665Medicare UPIN
386522Medicare UPIN