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Individual

SUSAN WEEDALL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
P.T.

Contact information

Practice address
17120 PILKINGTON RD, LAKE OSWEGO, OR 97035-5353
(503) 974-9078
Mailing address
17120 PILKINGTON RD STE 215, LAKE OSWEGO, OR 97035-5353
(503) 974-9078
(503) 620-2410

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1294
OR
225100000X
Physical Therapist
19751
CA

Other

Enumeration date
09/28/2006
Last updated
03/30/2021
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