Individual
SEAN GUSTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
500 VILLA RD, NEWBERG, OR 97132-1860
(503) 537-1863
Mailing address
500 VILLA RD, NEWBERG, OR 97132-1860
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
60281
OR
Other
Enumeration date
08/16/2018
Last updated
08/16/2018
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