IndividualActive
Brandie Dupont, MS, ATC, PTA, CSCS
NPI 1417003997 · Physical Therapy Assistant · Salem, OR
Provider details
- NPI number
- 1417003997
- Entity type
- Individual
- Primary specialty
- Physical Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- MS, ATC, PTA, CSCS
- Sex
- Female
- Sole proprietor
- No
- License
- 8730 (OR)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
685 36th Ave Ne
Salem, OR 97301-4741
Phone: (503) 371-8860
Approximate (ZIP-level) locationGet directions
Mailing address
3018 Sw Carson St
Portland, OR 97219-3720
Registry dates
- Enumerated
- 2007-01-26
- Last updated
- 2011-07-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.