Grant Andrew Bortnem, DPT
Physical Therapist in Salem, OR. Individual provider (NPI-1).
NPI number1861628331
StatusActive
Last updated in NPPESMar 17, 2017
Details
- NPI
- 1861628331
- Entity type
- Individual (NPI-1)
- Name
- Mr. Grant Andrew Bortnem
- Credential
- DPT
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 10, 2009
- Last updated
- Mar 17, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | 05964 | OR | Yes |
| 225100000X | Physical Therapist | 5964 | OR |
Practice location
3270 Liberty Rd SSalem, OR 97302
Phone 503-371-0779 · Fax 503-371-0886
Mailing address
3270 Liberty Rd SSalem, OR 97302
Phone 503-371-0779 · Fax 503-371-0886
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