Provider Demographics
NPI:1558427534
Name:ARMAS, LENA MARIE (PT)
Entity Type:Individual
Prefix:MRS
First Name:LENA
Middle Name:MARIE
Last Name:ARMAS
Suffix:
Gender:F
Credentials:PT
Other - Prefix:MISS
Other - First Name:LENA
Other - Middle Name:MARIE
Other - Last Name:PRATH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT
Mailing Address - Street 1:PO BOX 1139
Mailing Address - Street 2:
Mailing Address - City:MOLALLA
Mailing Address - State:OR
Mailing Address - Zip Code:97038-1139
Mailing Address - Country:US
Mailing Address - Phone:503-829-8221
Mailing Address - Fax:503-829-8726
Practice Address - Street 1:111 WEST MAIN STREET
Practice Address - Street 2:
Practice Address - City:MOLALLA
Practice Address - State:OR
Practice Address - Zip Code:97038
Practice Address - Country:US
Practice Address - Phone:503-829-8221
Practice Address - Fax:503-829-8726
Is Sole Proprietor?:No
Enumeration Date:2006-12-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR2070225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
R104049Medicare ID - Type Unspecified