IndividualActive
Darrel Decker, PTA
NPI 1801278049 · Skilled Nursing Facility · Lebanon, OR
Provider details
- NPI number
- 1801278049
- Entity type
- Individual
- Primary specialty
- Skilled Nursing FacilityNursing & Custodial Care Facilities
- Credential
- PTA
- Sex
- Male
- Sole proprietor
- Yes
- License
- 08867 (OR)
Specialties & taxonomies
Nursing & Custodial Care Facilities
Practice location
350 8th Street
Lebanon, OR 97355
Phone: (541) 259-1221
Approximate (ZIP-level) locationGet directions
Mailing address
924 Se Bethel Place
Corvallis, OR 97333
Registry dates
- Enumerated
- 2015-06-24
- Last updated
- 2015-06-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.