IndividualActive
Monika Deshazer
NPI 1174387609 · Physical Therapy Assistant · Fairview, OR
Provider details
- NPI number
- 1174387609
- Entity type
- Individual
- Primary specialty
- Physical Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 8850 (OR)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
1204 Ne 201st Ave
Fairview, OR 97024-2499
Phone: (503) 661-7200
Approximate (ZIP-level) locationGet directions
Mailing address
21021 Se Burnside Ct
Gresham, OR 97030-3643
Registry dates
- Enumerated
- 2024-02-06
- Last updated
- 2024-02-06
- Certified
- 2024-02-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.