Individual
MR. GAELEN WATT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
10121 SE SUNNYSIDE RD, #208, CLACKAMAS, OR 97015
(503) 794-0103
(503) 794-0104
Mailing address
10121 SE SUNNYSIDE RD, #208, CLACKAMAS, OR 97015
(503) 794-0103
(503) 794-0104
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
63280
OR
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/25/2015
Last updated
09/18/2019
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