Provider Demographics
NPI:1952640393
Name:ZACHER, DELBERT K (PT)
Entity Type:Individual
Prefix:
First Name:DELBERT
Middle Name:K
Last Name:ZACHER
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1600 STATE ST
Mailing Address - Street 2:
Mailing Address - City:SALEM
Mailing Address - State:OR
Mailing Address - Zip Code:97301-4257
Mailing Address - Country:US
Mailing Address - Phone:503-540-6472
Mailing Address - Fax:503-540-6480
Practice Address - Street 1:5825 SHOREVIEW LN N
Practice Address - Street 2:
Practice Address - City:KEIZER
Practice Address - State:OR
Practice Address - Zip Code:97303-3978
Practice Address - Country:US
Practice Address - Phone:503-540-6471
Practice Address - Fax:503-540-6404
Is Sole Proprietor?:No
Enumeration Date:2013-02-05
Last Update Date:2019-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORPT60104225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist