Keown, Gary Douglas

Keown, Gary Douglas is an sole proprietor health care provider with primary practice located at 68643 Highway 20 Tai Central Oregon Sisters, Sisters OR 97759-1947. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Keown, Gary Douglas can be contacted via phone (541) 849-3574.

Contact Information

Primary practice address
68643 Highway 20 Tai Central Oregon Sisters Sisters OR 97759-1947
Phone: (541) 849-3574
Fax: (541) 388-7785
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 0852 Oregon

Profile Details

NPI number 1194708057
LBN Legal business name Keown, Gary Douglas
Credentials PHYSICAL THERAPIST
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 23rd, 2005
Last updated Nov 9th, 2012 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1194708057 NPPES
Oregon MEDICAID 170928

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