Provider Demographics
NPI:1336322619
Name:FRANCIS, OSCAR MICHAEL (PT)
Entity Type:Individual
Prefix:
First Name:OSCAR
Middle Name:MICHAEL
Last Name:FRANCIS
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 1:10820 SUMMITVIEW RD
Mailing Address - Street 2:
Mailing Address - City:YAKIMA
Mailing Address - State:WA
Mailing Address - Zip Code:98908-8703
Mailing Address - Country:US
Mailing Address - Phone:509-453-0964
Mailing Address - Fax:509-453-0964
Practice Address - Street 1:901 SUMMITVIEW AVE
Practice Address - Street 2:SUITE 210 H
Practice Address - City:YAKIMA
Practice Address - State:WA
Practice Address - Zip Code:98902-3062
Practice Address - Country:US
Practice Address - Phone:509-453-0964
Practice Address - Fax:509-453-0964
Is Sole Proprietor?:No
Enumeration Date:2007-12-10
Last Update Date:2007-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPT00003324225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
WAGAB36328Medicare PIN