# COLLEEN WESEL PHYSICAL THERAPY LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1861045213
- **Authorized official:** COLLEEN STACY WESEL (OWNER, PT)
- **Authorized official phone:** (503) 953-5853

## Contact information

- **Practice address:** 3000 NE STUCKI AVE STE 230P, HILLSBORO, OR 97124-7107
- **Practice address phone:** (503) 953-5853
- **Practice address fax:** (503) 690-0678
- **Mailing address:** 3000 NE STUCKI AVE STE 230P, HILLSBORO, OR 97124-7107
- **Mailing address phone:** (503) 953-5853
- **Mailing address fax:** (503) 690-0678

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | — | NULL | Yes |
| 225100000X | Physical Therapist | — | — | Yes |

## Other

- **Enumeration date:** 07/24/2019
- **Last updated:** 10/02/2019