Provider Demographics
NPI:1184463515
Name:GHIMIRE, ARJUN KUMAR (PT)
Entity type:Individual
Prefix:MR
First Name:ARJUN
Middle Name:KUMAR
Last Name:GHIMIRE
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 1:305 SABRA LN NE APT 204
Mailing Address - Street 2:
Mailing Address - City:SALEM
Mailing Address - State:OR
Mailing Address - Zip Code:97301-2314
Mailing Address - Country:US
Mailing Address - Phone:618-514-3572
Mailing Address - Fax:
Practice Address - Street 1:305 SABRA LN NE APT 204
Practice Address - Street 2:
Practice Address - City:SALEM
Practice Address - State:OR
Practice Address - Zip Code:97301-2314
Practice Address - Country:US
Practice Address - Phone:618-514-3572
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-05-24
Last Update Date:2024-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY052326225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist