Provider Demographics
NPI:1386713626
Name:KINDSCHUH, JANET (DPT)
Entity type:Individual
Prefix:
First Name:JANET
Middle Name:
Last Name:KINDSCHUH
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2410 NE DONCASTER LN
Mailing Address - Street 2:
Mailing Address - City:HILLSBORO
Mailing Address - State:OR
Mailing Address - Zip Code:97124-9047
Mailing Address - Country:US
Mailing Address - Phone:404-409-9308
Mailing Address - Fax:
Practice Address - Street 1:2410 NE DONCASTER LN
Practice Address - Street 2:
Practice Address - City:HILLSBORO
Practice Address - State:OR
Practice Address - Zip Code:97124-9047
Practice Address - Country:US
Practice Address - Phone:404-409-9308
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-11-08
Last Update Date:2021-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR61176225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
OR61176OtherSTATE LICENSE NUMBER