Provider Demographics
NPI:1861630857
Name:PFLAUM, KAREN JOYCE (PT)
Entity Type:Individual
Prefix:
First Name:KAREN
Middle Name:JOYCE
Last Name:PFLAUM
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1417 EMERSON LN S
Mailing Address - Street 2:
Mailing Address - City:MONMOUTH
Mailing Address - State:OR
Mailing Address - Zip Code:97361-1889
Mailing Address - Country:US
Mailing Address - Phone:541-297-1794
Mailing Address - Fax:
Practice Address - Street 1:1417 EMERSON LN S
Practice Address - Street 2:
Practice Address - City:MONMOUTH
Practice Address - State:OR
Practice Address - Zip Code:97361-1889
Practice Address - Country:US
Practice Address - Phone:541-297-1794
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-01-28
Last Update Date:2009-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR1168225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist