Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2251G0304X | Physical Therapist - Geriatrics | 3801 | OR |
NPI | 1295290674 |
---|---|
Provider Name | Gregory Charles Helms |
First Address | Corvallis, OR 97330-2869 |
Second Address | Corvallis, OR 97330-2869 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 09/02/2019 |
Last Update Date | 09/02/2019 |