Provider Demographics
NPI:1609310234
Name:SCHUSTER, JASON (PT, DPT)
Entity type:Individual
Prefix:
First Name:JASON
Middle Name:
Last Name:SCHUSTER
Suffix:
Gender:M
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 441
Mailing Address - Street 2:
Mailing Address - City:JOHN DAY
Mailing Address - State:OR
Mailing Address - Zip Code:97845-0441
Mailing Address - Country:US
Mailing Address - Phone:503-298-3113
Mailing Address - Fax:
Practice Address - Street 1:421 S MAIN ST
Practice Address - Street 2:APARTMENT #1
Practice Address - City:PRAIRIE CITY
Practice Address - State:OR
Practice Address - Zip Code:97869-2131
Practice Address - Country:US
Practice Address - Phone:503-298-3113
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-12-16
Last Update Date:2016-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR61489225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist