Provider Demographics
NPI:1659455855
Name:CSINTALAN, ROBERT FRANK (DPT)
Entity Type:Individual
Prefix:MR
First Name:ROBERT
Middle Name:FRANK
Last Name:CSINTALAN
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 1:444 NW ELKS DR
Mailing Address - Street 2:
Mailing Address - City:CORVALLIS
Mailing Address - State:OR
Mailing Address - Zip Code:97330-3745
Mailing Address - Country:US
Mailing Address - Phone:541-754-1150
Mailing Address - Fax:541-753-1789
Practice Address - Street 1:2350 NW CENTURY DR
Practice Address - Street 2:
Practice Address - City:CORVALLIS
Practice Address - State:OR
Practice Address - Zip Code:97330-3495
Practice Address - Country:US
Practice Address - Phone:541-754-1265
Practice Address - Fax:844-430-0676
Is Sole Proprietor?:No
Enumeration Date:2006-10-24
Last Update Date:2021-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR2662225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
OR278294Medicaid
WA0210755OtherWA DEPT OF LABOR & INDUST
OR5007461-02OtherREGENCE HMO
ORM103635OtherPACIFIC SOURCE HEALTH PLA
OR838969002OtherREGENCE BC/BS