Individual
DR. TIMOTHY MAX WALLENBURG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
17420 MEINIG AVE, SANDY, OR 97055-8068
(503) 427-0118
(503) 427-0279
Mailing address
2001 SOLAR DR STE 150, OXNARD, CA 93036-0680
(805) 604-1924
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
65063
OR
Other
Enumeration date
11/20/2020
Last updated
10/06/2025
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