Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225100000X | Physical Therapist | 6282 | OR |
NPI | 1003128653 |
---|---|
Provider Name | Bryce P Schuster |
First Address | Portland, OR 97202-1736 |
Second Address | Vancouver, WA 98660-3213 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/07/2010 |
Last Update Date | 12/07/2010 |