Individual
MR. JAMES RICHARD NIEBERGALL
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
PO BOX 1979, SUITE 101 TAI BETHANY PHYSICAL THERAPY, ESTACADA, OR 97023-1979
(503) 466-2254
(503) 466-1143
Mailing address
PO BOX 1979, ESTACADA, OR 97023-1979
(503) 630-5314
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5165
OR
225100000X
Physical Therapist
PT00007392
WA
Other
Enumeration date
05/15/2006
Last updated
02/28/2017
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