IndividualActive
Brian Dirkx
NPI 1194174334 · Physical Therapy Assistant · Salem, OR
Provider details
- NPI number
- 1194174334
- Entity type
- Individual
- Primary specialty
- Physical Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Sex
- Male
- Sole proprietor
- No
- License
- 9185 (OR)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
6250 Commercial St Se
Salem, OR 97306-1333
Phone: (503) 485-1666
Fax: (503) 581-6867
Approximate (ZIP-level) locationGet directions
Mailing address
8823 Production Ln
Ooltewah, TN 37363-6511
Registry dates
- Enumerated
- 2016-06-08
- Last updated
- 2016-06-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.