NPI 1194174334
Brian R Dirkx
Practice location
- Address
- 6250 Commercial St SE, Salem, OR 97306-1333
- Phone
- (503) 485-1666
- Fax
- (503) 581-6867
- Mailing address
- 8823 Production Ln, Ooltewah, TN 37363-6511
Registered specialties
Physical Therapy Assistant
Primary
Registry record
- NPI
- 1194174334
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 8 Jun 2016
- Record last updated
- 8 Jun 2016
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.