Provider Demographics
NPI: | 1275070047 |
---|---|
Name: | DO IT BETTER |
Entity type: | Organization |
Organization Name: | DO IT BETTER |
Other - Org Name: | |
Other - Org Type: | |
Authorized Official - Title/Position: | OWNER |
Authorized Official - Prefix: | |
Authorized Official - First Name: | SCOTT |
Authorized Official - Middle Name: | |
Authorized Official - Last Name: | VAN KAMPEN |
Authorized Official - Suffix: | |
Authorized Official - Credentials: | |
Authorized Official - Phone: | 541-752-0443 |
Mailing Address - Street 1: | 260 SW MADISON AVE |
Mailing Address - Street 2: | SUITE 106 |
Mailing Address - City: | CORVALLIS |
Mailing Address - State: | OR |
Mailing Address - Zip Code: | 97333-4798 |
Mailing Address - Country: | US |
Mailing Address - Phone: | |
Mailing Address - Fax: | |
Practice Address - Street 1: | 260 SW MADISON AVE |
Practice Address - Street 2: | SUITE 106 |
Practice Address - City: | CORVALLIS |
Practice Address - State: | OR |
Practice Address - Zip Code: | 97333 |
Practice Address - Country: | US |
Practice Address - Phone: | 541-752-0443 |
Practice Address - Fax: | |
EIN: | <UNAVAIL> |
Is Organization Subpart?: | No |
Parent Organization LBN: | |
Parent Organization TIN: | |
Enumeration Date: | 2017-01-31 |
Last Update Date: | 2017-01-31 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Licenses
State | License ID | Taxonomies |
---|---|---|
OR | 06166 | 225100000X |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization | Group |
---|---|---|---|---|---|
Yes | 225100000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist | Group - Single Specialty |