Individual
JASON WELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5601 SE 122ND AVE, PORTLAND, OR 97236-4601
(503) 761-3181
Mailing address
25117 SW PARKWAY AVE STE D, WILSONVILLE, OR 97070-9697
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
T 61375
OR
Other
Enumeration date
09/03/2015
Last updated
09/03/2015
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