Individual
CLYDE WEBER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
16100 NW CORNELL RD, BEAVERTON, OR 97006-7334
(971) 245-6663
Mailing address
11400 SW JODY ST, BEAVERTON, OR 97005-1542
(308) 233-7357
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
07/06/2023
Last updated
07/06/2023
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