Individual
MR. JAMES ROBERT WEGGENMAN
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
1515 NW 18TH AVE, STE 400, PETTYGROVE PHYSICAL THERAPY AND SPORTS REHAB., PORTLAND, OR 97209-2515
(503) 228-1306
(503) 228-1307
Mailing address
11320 NW RIDGE RD, PORTLAND, OR 97229-4069
(503) 645-2646
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
0575
OR
Other
Enumeration date
07/26/2005
Last updated
07/08/2007
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