Provider Demographics
NPI:1912001660
Name:DENNY, MORGAN ERIKA (PHYSICAL THERAPIST)
Entity Type:Individual
Prefix:MS
First Name:MORGAN
Middle Name:ERIKA
Last Name:DENNY
Suffix:
Gender:F
Credentials:PHYSICAL THERAPIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:16083 SW UPPER BOONES FERRY RD
Mailing Address - Street 2:STE 300
Mailing Address - City:TIGARD
Mailing Address - State:OR
Mailing Address - Zip Code:97224-7736
Mailing Address - Country:US
Mailing Address - Phone:800-219-8835
Mailing Address - Fax:503-639-9699
Practice Address - Street 1:837 SW FIRST AVE
Practice Address - Street 2:STE. 150
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97204-3307
Practice Address - Country:US
Practice Address - Phone:503-450-0591
Practice Address - Fax:503-450-0867
Is Sole Proprietor?:No
Enumeration Date:2006-09-12
Last Update Date:2015-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR5260225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
OR0328448OtherWA L&I
OR0328447OtherWA L&I
OR0328447OtherWA L&I
ORR182193Medicare PIN
ORR182191Medicare PIN
ORR182192Medicare PIN
ORR176696Medicare PIN
OR0328448OtherWA L&I