Individual
AMANDA WELTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
800 SW 13TH AVE, PORTLAND, OR 97205-1902
(503) 221-0161
Mailing address
800 SW 13TH AVE, PORTLAND, OR 97205-1902
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
62744
OR
Other
Enumeration date
07/19/2018
Last updated
07/19/2018
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