Individual
ERIC D WALBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
57250 OVERLOOK ROAD, SUNRIVER, OR 97707
(541) 585-3148
(541) 323-3452
Mailing address
805 SW INDUSTRIAL WAY, SUITE 3, BEND, OR 97702-1093
(541) 585-2529
(541) 585-2535
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
4400
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
182692
—
OR
Enumeration date
11/30/2005
Last updated
03/03/2016
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