Individual
JARED LINCOLN WEICHERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
1345 CENTER DR STE 100, MEDFORD, OR 97501-7945
(541) 210-5674
(541) 210-5674
Mailing address
1345 CENTER DR STE 100, MEDFORD, OR 97501-7945
(541) 210-5674
(541) 210-5674
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
1157800
TX
225100000X
Physical Therapist
Primary
63181
OR
225100000X
Physical Therapist
9154
AZ
225100000X
Physical Therapist
PT-2251
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8079669
—
ID
Enumeration date
07/31/2006
Last updated
04/09/2019
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