OrganizationActive
Pioneer Memorial Physical Therapy
NPI 1760400956 · Physical Therapist · Heppner, OR
Provider details
- NPI number
- 1760400956
- Entity type
- Organization
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Organization subpart
- No
- Authorized official
- Amanda Carnine, Owner(406) 531-5918
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- Physical Therapy Clinic/Center261QP2000X
Ambulatory Health Care Facilities
Practice location
695 S Alfalfa Street
Heppner, OR 97836-6300
Phone: (541) 676-1123
Fax: (541) 676-1122
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 70689
Salt Lake City, UT 84170-0689
Other names (DBA / former)
- Other name
- Pioneer Memorial Physical Therapy LLC
Registry dates
- Enumerated
- 2006-07-17
- Last updated
- 2024-11-13
- Certified
- 2024-11-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.