Individual
AMY WELLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
30900 SW PARKWAY AVE, WILSONVILLE, OR 97070-7835
(503) 682-2840
Mailing address
3032 SE 52ND AVE, PORTLAND, OR 97206-2112
17203524892
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
62297
OR
Other
Enumeration date
06/12/2017
Last updated
06/12/2017
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