Provider Demographics
NPI:1386922326
Name:DOAN, MEGHAN MEINERZ (PT)
Entity type:Individual
Prefix:MRS
First Name:MEGHAN
Middle Name:MEINERZ
Last Name:DOAN
Suffix:
Gender:F
Credentials:PT
Other - Prefix:MS
Other - First Name:MEGHAN
Other - Middle Name:CHARLOTTE
Other - Last Name:MEINERZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT
Mailing Address - Street 1:2036 NW SHIRAZ CT
Mailing Address - Street 2:
Mailing Address - City:BEND
Mailing Address - State:OR
Mailing Address - Zip Code:97703-2184
Mailing Address - Country:US
Mailing Address - Phone:919-672-8542
Mailing Address - Fax:
Practice Address - Street 1:1012 SW EMKAY DR
Practice Address - Street 2:
Practice Address - City:BEND
Practice Address - State:OR
Practice Address - Zip Code:97702-1010
Practice Address - Country:US
Practice Address - Phone:541-241-3061
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-07-25
Last Update Date:2024-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPT60224704225100000X
225100000X
OR63815225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist