Provider Demographics
NPI:1215989124
Name:BREMMER, JAMES SCOTT JR (PT)
Entity type:Individual
Prefix:MR
First Name:JAMES
Middle Name:SCOTT
Last Name:BREMMER
Suffix:JR
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:834 CEDAROAK ST
Mailing Address - Street 2:
Mailing Address - City:ST HELENS
Mailing Address - State:OR
Mailing Address - Zip Code:97051-2806
Mailing Address - Country:US
Mailing Address - Phone:503-721-7851
Mailing Address - Fax:503-721-7837
Practice Address - Street 1:3710 SW US VETERANS HOSPITAL RD
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97239-2964
Practice Address - Country:US
Practice Address - Phone:503-721-7851
Practice Address - Fax:503-721-7837
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR0577225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist