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Contact Information

SHAWN D AXTEN, PT,CST-D
20360 EMPIRE AVE # B-9A
BEND, OR97703-5709
 Phone: 360-607-7226
 Fax: 541-706-9330
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physical Therapy

261QP2000X
 

Pediatric Rehabilitation Medicine

2081P0010X 25 Physician/Physical Medicine and Rehabilitation
Indicates primary specialty

NPI Profile & details for

NPI Number 1922158377
Entity Organization
Organization subpart 1 Not specified
Enumeration date 01/10/2007
Last updated 06/19/2024 - More than a year ago
Identifiers
OR License # 01557
WA License # WAPT0000574
OR Other 01557 OREGON PT LICENSING BOARD
WA Other 00005748 WA PHYSICAL THERAPY LICENSING BOARD
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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