Charlo Brandon Crumpacker (NPI# 1003461823, PAC ID# 5799014874) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICAL THERAPY.
| Nation Provider ID (NPI) | 1003461823 |
| PAC ID by PECOS | 5799014874 |
| Professional Enrollment ID | I20190916001784 |
| Full Name | Charlo Brandon Crumpacker |
| Organization Legal Name | NORTH LAKE PHYSICAL THERAPY AND REHAB LP |
| Address |
365 S Redwood St Canby OR 97013-2405 |
| Phone Number | 5036512020 |
| Gender | M |
| Graduation Year | 2019 |
| Primary Specialty | PHYSICAL THERAPY |
| Group Practice PAC ID | 4082853825 |
| Number of Group Practice Members | 35 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 365 S Redwood St, Canby, OR 97013-2405 | 5036512020 | NORTH LAKE PHYSICAL THERAPY AND REHAB LP |
| Organization Legal Name | NORTH LAKE PHYSICAL THERAPY AND REHAB LP |
| Physicians | 42 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Aaron Butler Holtz | Physical Therapy | North Lake Physical Therapy and Rehab Lp | 1715 Beavercreek Rd, Oregon City, OR 97045-4290 |
| Zachary Gregory Shaver | Physical Therapy | North Lake Physical Therapy and Rehab Lp | 101 S State St, Suite 4200, Lake Oswego, OR 97034-3977 |
| Callyn M Bihr | Physical Therapy | North Lake Physical Therapy and Rehab Lp | 21 Cowlitz St, Saint Helens, OR 97051-2617 |
| Brian Bartelli | Physical Therapy | North Lake Physical Therapy and Rehab Lp | 4606 Se Boardman Ave, Milwaukie, OR 97267-5930 |
| Paul Mukai | Physical Therapy | North Lake Physical Therapy and Rehab Lp | 1622 Nw 15th Ave, Portland, OR 97209-2572 |
| James N Sechrist | Physical Therapy | North Lake Physical Therapy and Rehab Lp | 4606 Se Boardman Ave, Milwaukie, OR 97267-5930 |
| Kelly E Newman | Physical Therapy | North Lake Physical Therapy and Rehab Lp | 4606 Se Boardman Ave, Milwaukie, OR 97267-5930 |
| Mackenzie Bartelli | Physical Therapy | North Lake Physical Therapy and Rehab Lp | 365 S Redwood St, Canby, OR 97013-2405 |
| Scot D Morrison | Physical Therapy | North Lake Physical Therapy and Rehab Lp | 4606 Se Boardman Ave, Milwaukie, OR 97267-5930 |
| Jessica Hund | Physical Therapy | North Lake Physical Therapy and Rehab Lp | 4606 Se Boardman Ave, Milwaukie, OR 97267-5930 |
| Street Address |
365 S REDWOOD ST |
| City | CANBY |
| State | OR |
| Zip | 97013-2405 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mackenzie Bartelli | Physical Therapy | North Lake Physical Therapy and Rehab Lp | 365 S Redwood St, Canby, OR 97013-2405 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| John Alan Zieg | Optometry | 310 Nw 3rd Ave, Canby Vision Clinic, Canby, OR 97013-3603 | |
| Janae Z Brill | Family Medicine | Davies Clinic PC | 345 N Grant St, Canby, OR 97013-3610 |
| Deona L Bridgeman | Family Medicine | Davies Clinic PC | 345 N Grant St, Canby, OR 97013-3610 |
| Joanna Anders | Nurse Practitioner | Davies Clinic PC | 345 N Grant St, Canby, OR 97013-3610 |
| Daniel Richard Ryan | Physical Therapy | New Proactive LLC | 308 N Ivy St, Canby, OR 97013-3704 |
| Ashley K Mcferron | Optometry | Ashley K Mcferron Od PC | 364 N Ivy St, Canby, OR 97013-3704 |
| Tyler Bohnet | Physical Therapy | New Proactive LLC | 308 N Ivy St, Canby, OR 97013-3704 |
| Elizabeth Ann Henderson | Physical Therapy | New Proactive LLC | 308 N Ivy St, Canby, OR 97013-3704 |
| Josh Edward Hansen | Physical Therapy | New Proactive LLC | 308 N Ivy St, Canby, OR 97013-3704 |
| Meghan L Malensky | Optometry | Ashley K Mcferron Od PC | 364 N Ivy St, Canby, OR 97013-3704 |
| Find all physicians in zip 97013 | |||
| City | CANBY |
| Zip Code | 97013 |
| Specialty | PHYSICAL THERAPY |
| City + Specialty | CANBY + PHYSICAL THERAPY |
Please comment or provide details below to improve the information on Charlo Brandon Crumpacker.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.