Individual
EDWIN BENJAMIN MEELHUYSEN
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
2728 PHEASANT BLVD, SUITE 100, SPRINGFIELD, OR 97477-7589
(541) 736-8870
(541) 736-8860
Mailing address
11481 SW HALL BLVD, SUITE 201, PORTLAND, OR 97223-8403
(800) 219-8835
(503) 443-1402
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2630
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
127048
—
OR
Enumeration date
11/16/2005
Last updated
07/08/2007
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