Provider Demographics
NPI:1861635138
Name:MEIER, JUSTIN (PT, DPT)
Entity Type:Individual
Prefix:MR
First Name:JUSTIN
Middle Name:
Last Name:MEIER
Suffix:
Gender:M
Credentials:PT, DPT
Other - Prefix:MR
Other - First Name:JUSTIN
Other - Middle Name:
Other - Last Name:DRAKE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT, DPT
Mailing Address - Street 1:1128 NE 2ND ST. STE 201
Mailing Address - Street 2:
Mailing Address - City:CORVALLIS
Mailing Address - State:OR
Mailing Address - Zip Code:97330
Mailing Address - Country:US
Mailing Address - Phone:541-757-8100
Mailing Address - Fax:541-754-2707
Practice Address - Street 1:1128 NE 2ND ST. STE 201
Practice Address - Street 2:
Practice Address - City:CORVALLIS
Practice Address - State:OR
Practice Address - Zip Code:97330
Practice Address - Country:US
Practice Address - Phone:541-757-8100
Practice Address - Fax:541-754-2707
Is Sole Proprietor?:No
Enumeration Date:2009-04-15
Last Update Date:2013-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR56842251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic