Individual
COLLEEN STACY WESEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
4150 PACIFIC AVE STE 100, FOREST GROVE, OR 97116-2786
(503) 357-1706
Mailing address
2941 NE 1ST CT, HILLSBORO, OR 97124-2097
(503) 693-6427
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
3267
OR
Other
Enumeration date
03/21/2013
Last updated
07/20/2016
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