Most Relevant Information
Provider Data
| NPI Number: | 1003546482 |
| Provider Name: | BRIAN CARPER DPT |
| Entity Type: | Individual |
| Taxonomy Code: | 225100000X |
| Specialty: | Physical Therapist |
| License Number: | 64557 |
Most Important Dates
| Enumeration Date: | 06/16/2022 |
| Last Updated: | 08/27/2024 |
Provider Practice Location
300 N GRAHAM ST STE 430
PORTLAND
OR
972271667
Practice Location Phone/Fax
| Phone: | 5034131500 |
| Fax: |
Provider Mailing Location
5970 KENNYCROFT WAY
LAKE OSWEGO
OR
970357026
Provider Mailing Phone/Fax
| Phone: | 3606241143 |
| Fax: |