Provider Demographics
NPI:1104967702
Name:SETTELMEYER, JODI KAY (PT)
Entity type:Individual
Prefix:
First Name:JODI
Middle Name:KAY
Last Name:SETTELMEYER
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:JODI
Other - Middle Name:KAY
Other - Last Name:WOODS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT
Mailing Address - Street 1:2701 NW VAUGHN ST
Mailing Address - Street 2:SUITE 140
Mailing Address - City:PORTLND
Mailing Address - State:OR
Mailing Address - Zip Code:97223-6065
Mailing Address - Country:US
Mailing Address - Phone:503-341-4529
Mailing Address - Fax:
Practice Address - Street 1:2701 NW VAUGHN ST
Practice Address - Street 2:SUITE 140
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97210-5311
Practice Address - Country:US
Practice Address - Phone:503-778-2498
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-02-08
Last Update Date:2007-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR4238225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist