Brooke Pascoe Dorsett, PTA
Contractor in Portland, OR. Individual provider (NPI-1).
NPI number1982142360
StatusActive
Last updated in NPPESOct 11, 2023
Details
- NPI
- 1982142360
- Entity type
- Individual (NPI-1)
- Name
- Brooke Pascoe Dorsett
- Credential
- PTA
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Feb 6, 2017
- Certification date
- Oct 11, 2023
- Last updated
- Oct 11, 2023
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 171W00000X | Contractor | 010914 | OR | Yes |
Other names
- Brooke Pascoe Dorsett (Other Name)
Practice location
6442 Ne 38th AvePortland, OR 97211-7812
Phone 415-235-3078
Mailing address
6442 Ne 38th AvePortland, OR 97211-7812
Phone 415-235-3078
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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