Basic Information
Provider Information
NPI: 1881004216
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: NORKITIS
FirstName: ARLEEN
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: PT
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
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OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 25117 SW PARKWAY AVE STE D
Address2:  
City: WILSONVILLE
State: OR
PostalCode: 970709697
CountryCode: US
TelephoneNumber: 9713640611
FaxNumber: 9713640610
Practice Location
Address1: 25117 SW PARKWAY AVE STE D
Address2:  
City: WILSONVILLE
State: OR
PostalCode: 970709697
CountryCode: US
TelephoneNumber: 9713640611
FaxNumber: 9713640610
Other Information
ProviderEnumerationDate: 05/07/2014
LastUpdateDate: 04/19/2021
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 04/17/2021

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
2251G0304X3055ORY Respiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGeriatrics

No ID Information.


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