Provider Demographics
NPI:1821180340
Name:MURRAY, DEAN CHARLES (PHYSICAL THERAPIST A)
Entity Type:Individual
Prefix:MR
First Name:DEAN
Middle Name:CHARLES
Last Name:MURRAY
Suffix:
Gender:M
Credentials:PHYSICAL THERAPIST A
Other - Prefix:MR
Other - First Name:DEAN
Other - Middle Name:CHARLES
Other - Last Name:MURRAY
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PTA
Mailing Address - Street 1:4560 SE INTERNATIONAL WAY
Mailing Address - Street 2:
Mailing Address - City:MILWAUKIE
Mailing Address - State:OR
Mailing Address - Zip Code:97222
Mailing Address - Country:US
Mailing Address - Phone:971-206-5140
Mailing Address - Fax:971-206-5209
Practice Address - Street 1:280 ROWE RD
Practice Address - Street 2:
Practice Address - City:WHEELER
Practice Address - State:OR
Practice Address - Zip Code:97147-0035
Practice Address - Country:US
Practice Address - Phone:503-368-5171
Practice Address - Fax:503-368-6836
Is Sole Proprietor?:No
Enumeration Date:2006-09-29
Last Update Date:2014-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR7876225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant