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Contact Information

DARREL A DECKER, PTA
350 8TH STREET
LEBANON, OR97355
 Phone: 541-259-1221
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Skilled Nursing Facility

314000000X A1[8] Skilled Nursing Facility
Indicates primary specialty

NPI Profile & details for DARREL A DECKER · (Male)

NPI # 1801278049
Status Active
Credentials PTA (Physical Therapist Assistant)
Entity Individual
Enumeration date 06/24/2015
Last updated 06/24/2015 - About 11 years ago
Sole proprietor 1 Yes
Identifiers
  • OR License # 08867
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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